ULTIMATE WELLNESS PROVIDERS CO NPI 1710408448

NPI Information

  • NPI: 1710408448
  • Provider Name: ULTIMATE WELLNESS PROVIDERS CO
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 1880 S DAIRY ASHFORD RD STE 207-439
    HOUSTON, TX
    ZIP 77077
  • Phone: (877) 768-4897

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NPI Details

ULTIMATE WELLNESS PROVIDERS CO is a health service clinic center in Houston, TX. ULTIMATE WELLNESS PROVIDERS CO NPI is 1710408448. The provider is registered as an organization entity type.

The provider's business location address is:

1880 S DAIRY ASHFORD RD STE 207-439
HOUSTON, TX
ZIP 77077-760
Phone: (877) 768-4897

The provider's authorized official is Lasonja Malone .
The authorized official title is Ceo/owner and has the following contact phone number (877) 768-4897.

The enumeration date for this NPI number is 7/3/2017 and was last updated on 1/19/2025.

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
1174200000XMealsNo
2177F00000XLodgingNo
3251B00000XCase ManagementNo
4251C00000XDay Training, Developmentally Disabled ServicesNo
5251E00000XHome HealthNo
6251F00000XHome InfusionNo
7251J00000XNursing CareNo
8251V00000XVoluntary or CharitableNo
9252Y00000XEarly Intervention Provider AgencyNo
10253Z00000XIn Home Supportive CareNo
11261Q00000XClinic/CenterNo
12261QA0600XClinic/CenterAdult Day CareNo
13261QC1800XClinic/CenterCorporate HealthNo
14261QH0100XClinic/CenterHealth ServiceLOUISIANAYes
15261QH0100XClinic/CenterHealth ServiceNo

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
11366970394OTHERTEXASHOME HEALTH CARE SERVICES
21366970394MEDICAIDTEXAS
31366970394MEDICAIDLOUISIANA
41366970394OTHERLOUISIANAHOME HEALTH CARE SERVICES

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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