Organization Active NPI

Ulticare Medical Group,Inc

  • Home Health Agency
  • Alexandria, VA
National Provider Identifier
1922417849
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-151154 Issued in VA
Legal business name
ULTICARE MEDICAL GROUP,INC
Practice address
4601 Pinecrest Office Park Dr
Suite F
Alexandria, VA 22312-1442
Phone
(703) 445-4009
NPI assigned
Aug 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Seth Anukwu
Title
Administrator
Phone
(703) 445-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-151154 VA Primary

Addresses

Primary practice location

4601 Pinecrest Office Park Dr
Suite F
Alexandria, VA 22312-1442

Mailing address

4601 Pinecrest Office Park Dr
Suite F
Alexandria, VA 22312-1442

Other identifiers 1

IdentifierTypeStateIssuer
HCO-151154OtherVAVIRGINIA DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory
Tax ID family
Ulticare Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1922417849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PINECREST OFFICE PARK DR",
            "address_2": "SUITE F",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PINECREST OFFICE PARK DR",
            "address_2": "SUITE F",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121442",
            "telephone_number": "703-445-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTICARE MEDICAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "ANUKWU",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-445-4009"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-151154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH",
            "identifier": "HCO-151154",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.