Organization Active NPI

Ultra Care Medical Group Inc

  • Rehabilitation Clinic/Center
  • Lehigh Acres, FL
National Provider Identifier
1962990325
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ULTRA CARE MEDICAL GROUP INC
Practice address
27 Homestead Rd N Ste 55
Lehigh Acres, FL 33936-6673
Phone
(239) 369-2055
Fax
(239) 303-2463
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Maria C. Reyes
Title
Owner
Phone
(239) 202-3026

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Multi-Specialty Clinic/Center 261QM1300X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

27 Homestead Rd N Ste 55
Lehigh Acres, FL 33936-6673

Mailing address

27 Homestead Rd N Ste 55
Lehigh Acres, FL 33936-6673
Phone (239) 369-2055

National Provider Directory

National Provider Directory

Locations

27 Homestead Rd N
Ste 55
Lehigh Acres, FL 33936
Phone (239) 369-2055

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1962990325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HOMESTEAD RD N STE 55",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366673",
            "telephone_number": "239-369-2055",
            "fax_number": "239-303-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HOMESTEAD RD N STE 55",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366673",
            "telephone_number": "239-369-2055",
            "fax_number": "239-303-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-202-3026"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.