ULTIMATE CARE MEDICAL SERVICES LLC NPI 1194954875

NPI Information

NPI: 1194954875
Provider Name: ULTIMATE CARE MEDICAL SERVICES LLC
Classification: Clinic/Center - 261QM2800X
Specialization: Methadone
Entity Type: Organization
Doing Business As: ULTIMATE TREATMENT CENTER
Address: 3655 WINCHESTER AVE
ASHLAND, KY
ZIP 41101
Phone: (606) 393-4632

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NPI Details

ULTIMATE CARE MEDICAL SERVICES LLC is a methadone clinic center in Ashland, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. ULTIMATE CARE MEDICAL SERVICES LLC NPI is 1194954875. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ultimate Treatment Center.

The provider's business location address is:

3655 WINCHESTER AVE
ASHLAND, KY
ZIP 41101-065
Phone: (606) 393-4632
Fax: (888) 411-4131

The provider's authorized official is Rose Uradu .
The authorized official title is Program Director and has the following contact phone number (606) 393-4632.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for (HCPCS:G2077)

The enumeration date for this NPI number is 7/2/2009 and was last updated on 8/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	810271	KENTUCKY	No
2	207QA0401X	Family Medicine	Addiction Medicine	40541	KENTUCKY	No
3	3336C0002X	Pharmacy	Clinic Pharmacy	10054	KENTUCKY	No
4	261QM2800X	Clinic/Center	Methadone	KY-10054-M	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100090030	MEDICAID	KENTUCKY
2	1832977	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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