Ultimate Goal Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

Y510229115582 Issued in MD

Legal business name

ULTIMATE GOAL HOME CARE

Practice address

4920 Niagara Rd Ste 318-320
College Park, MD 20740-1110

Phone

(202) 725-0560

Fax

(202) 204-5726

NPI assigned

Apr 10, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Arrey K Etchibanyi, D

Title

Administrator

Phone

(301) 982-6477

Specialties & licenses 3

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bechem Vivian Asameyong, PMNP-BC, APNP , NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Berwyn Heights, MD
  • NPI 1801151089
  NPD (past)
• Theresia M Ngala

  • Home Health Aide
  • College Park, MD
  • NPI 1619217254
  NPD (past)
• Emile Cheuyou Youmbi

  • Licensed Practical Nurse
  • College Park, MD
  • NPI 1285071878
  NPD (past)

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1972946820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 NIAGARA RD STE 318-320",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401110",
            "telephone_number": "202-725-0560",
            "fax_number": "202-204-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 NIAGARA RD STE 318-320",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401110",
            "telephone_number": "202-725-0560",
            "fax_number": "202-204-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE GOAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "ETCHIBANYI",
        "authorized_official_first_name": "ARREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-982-6477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "Y510229115582",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "Y510229115582",
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MD",
            "license": "Y510229115582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trustway Team Services
• Olanike B Tubo
• Julie Tucker, ATC
• Marie - Noel Ngueken Tumenta
• Bridget Ngoe Ulle
• Ultimate Goal Home Care Agency Inc
• Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA
• Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA
• University Health Center
• University Imaging Center, Charles E Buckley, MD, PA

• Home Health Agency in College Park, MD
• Providers in College Park, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.