Organization Active NPI

Ultimate Homecare

  • Durable Medical Equipment & Medical Supplies
  • Long Beach, CA
National Provider Identifier
1871546937
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
200699 Issued in CA
Legal business name
ULTIMATE HOMECARE
Practice address
3250 E 19TH St
Long Beach, CA 90755-1244
Phone
(866) 485-8463
Fax
(888) 816-2999
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Shelly Renee Griffith
Title
V.P. Operations
Phone
(866) 485-8463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 200699 CA Primary

Addresses

Primary practice location

3250 E 19TH St
Long Beach, CA 90755-1244

Mailing address

3250 E 19TH St
Long Beach, CA 90755-1244
Phone (866) 485-8463

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ28477ZOtherCABLUE SHIELD OF CA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871546937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 E 19TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "907551244",
            "telephone_number": "866-485-8463",
            "fax_number": "888-816-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 E 19TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "907551244",
            "telephone_number": "866-485-8463",
            "fax_number": "888-816-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "V.P. OPERATIONS",
        "authorized_official_telephone_number": "866-485-8463",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "200699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ28477Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.