ULTIMATE CARE SUPPORTED LIVING LLC (NPI# 1508467853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508467853 |
| Entity Type | Organization |
| Organization Name | ULTIMATE CARE SUPPORTED LIVING LLC |
| Practice Address |
5300 E Main St Ste 100 Columbus OH 43213-2580 |
| Mailing Address |
5300 E Main St Columbus OH 43213-2580 |
| Practice Telephone | 6148683821 |
| Practice Fax Number | 6148683921 |
| Mailing Telephone | 6148683821 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | MR. SAMUEL BRAIMA (PRESIDENT) |
| Authorized Official Telephone | 6148683821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Street Address |
5300 E MAIN ST STE 100 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43213-2580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
| 1255963708 | Icare Health & Wellness Medical Center, LLC | Counselor | 3242 E Main St, 2nd Floor, Columbus, OH 43213 | 2020-02-12 |
| 1588133011 | Robert Acheampong-imbeah | Case Manager/Care Coordinator | 3616 Eastwood Park, Whitehall, OH 43213 | 2018-11-14 |
| 1174017248 | Faatimah Sabir | Case Manager/Care Coordinator | 3616 East Main Street, Whitehall, OH 43213 | 2018-06-21 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1245729516 | Dominique Oswalt | Case Manager/Care Coordinator | 4111 Elbern Ave, Whitehall, OH 43213 | 2018-05-02 |
| 1326540865 | Jmkennedy LLC Magnum Np | Nursing Care | 6365 Plankton Dr, Columbus, OH 43213 | 2018-03-01 |
| 1477051647 | Inner Health Chiropractic North, LLC | Chiropractor | Inner Health Chiropractic, 3321 East Broad Street, Columbus, OH 43213 | 2018-01-23 |
| 1902319213 | Mary H Taylor | Massage Therapist | 6100 E. Main St., Suite 110, Columbus, OH 43213 | 2017-11-08 |
| 1407384548 | Lashaunta R Davidson | Licensed Practical Nurse | 4040 E. Broad Street, Whitehall, OH 43213 | 2017-06-02 |
| Find all providers in zip 43213 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215842 | Stewart Community Home, Inc. | Assisted Living Facility | 1125 15th St, Columbus, GA 31901-2219 | 2020-11-06 |
| 1043484744 | Kidspeace National Centers of North America, Inc. | Assisted Living Facility | 3604 Macon Rd Ste 3, Columbus, GA 31907-8221 | 2008-04-15 |
| 1790825750 | Greater Columbus PCh | Assisted Living Facility | 2425 3rd Ave, Columbus, GA 31901-1078 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407385925 | Odessey Residential Homes LLC | Assisted Living Facility | 8240 Pippin Rd, Cincinnati, OH 45239 | 2017-06-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1104375013 | Mattmo Outreach Residential Serivces | Assisted Living Facility | 135 S Liberty St, Delaware, OH 43015-2568 | 2016-10-04 |
| 1437403508 | Fairview Meadows Care Center, Inc. | Assisted Living Facility | 512 W Jackson St, Millersburg, OH 44654-8400 | 2012-10-29 |
| 1740599885 | Just People | Assisted Living Facility | 4506 Springmeadow Dr, Cincinnati, OH 45229-1122 | 2010-10-06 |
| 1942519723 | Bj's Haven /bj's Haven II | Assisted Living Facility | 3934 E 75th St, 7426 Worley Avenue, Cleveland, OH 44105-3800 | 2010-09-28 |
| 1841354156 | L & H Home Care, LLC | Assisted Living Facility | 95 N Arlington St, Akron, OH 44305-2447 | 2006-12-21 |
| 1033210844 | Midwest Health Services, Inc. | Assisted Living Facility | 11 Lincoln Way W, 5a, Massillon, OH 44647-6585 | 2006-09-26 |
| 1043244395 | Roger's Retirement Center, Inc. | Assisted Living Facility | 966 E 146th St, Cleveland, OH 44110-3729 | 2006-07-11 |
| 1942760202 | Margaret Ferda | Assisted Living Facility | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.