C & C Ultra Healthcare Providers Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

018080 Issued in TX

Legal business name

C & C ULTRA HEALTHCARE PROVIDERS INC

Doing business as

C & C Ultra Healthcare Providers Inc

Practice address

7457 Harwin Dr
Suite 226
Houston, TX 77036-3395

Phone

(832) 804-9649

Fax

(832) 649-4988

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Meka Odunze

Title

Cfo

Phone

(281) 822-1381

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• C & C Ultra Healthcare Providers Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 677938

Legal name

C&C ULTRA HEALTHCARE PROVIDERS, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 18, 2006

Last certification

Mar 13, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 5, 2003 in TX

Enrollment address

3300 S Gessner Rd
Ste 203
Houston, TX 77063-5140

Listed as

C & C Ultra Healthcare Providers IncCCN 677938 · All quality measures

Ownership

Proprietary

Certified

May 18, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Loving Care Home Health, LLC

  • Home Health Agency
  • San Antonio, TX
  • NPI 1881735090

  Evangel Enterprises Inc

  CMS ownership

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1972541084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 SAVOY DR",
            "address_2": "SUITE 302",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363395",
            "telephone_number": "832-804-9649",
            "fax_number": "832-649-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7457 HARWIN DR",
            "address_2": "SUITE 226",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363395",
            "telephone_number": "832-804-9649",
            "fax_number": "832-649-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C ULTRA HEALTHCARE PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "ODUNZE",
        "authorized_official_first_name": "MEKA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "281-822-1381"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008783",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "018080",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "018080",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1807307-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C & C Ultra Healthcare Providers Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• C & C Pharmacy Inc (Central Rx Pharmacy)
• C & D Global Enterprises LLC.
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• C & G Pharmacy
• C & I Provider Services
• C & L Pharmacy (The Medicine Shoppe Pharmacy)

• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.