Ujima Healthcare, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UJIMA HEALTHCARE, LLC

Practice address

1750 Highway 160 W Ste 101-311
Fort Mill, SC 29708-8009

Phone

(980) 229-3824

NPI assigned

Jul 12, 2024

Last updated

Nov 11, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Jasper

Title

Member

Phone

(980) 229-3824

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1821835257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 HIGHWAY 160 W STE 101-311",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088009",
            "telephone_number": "980-229-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 HIGHWAY 160 W STE 101-311",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088009",
            "telephone_number": "980-229-3824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5107 N 22nd St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336105018",
            "country_code": "US",
            "telephone_number": "980-229-3824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2612 Wilkens Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212233313",
            "country_code": "US",
            "telephone_number": "980-229-3824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UJIMA HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "JASPER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "980-229-3824",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.