Active NPI
Ulticare Medical Group,Inc
- Home Health Agency
- Alexandria, VA
National Provider Identifier
1922417849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HCO-151154
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCO-151154 | Other | VA | VIRGINIA DEPARTMENT OF HEALTH |
National Provider Directory
National Provider Directory- Tax ID family
- Ulticare Medical Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Rockville, MD
- NPI 1821496233
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.