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ULTRA CARE PLUS INC NPI 1922144294


NPI Information

NPI: 1922144294
Provider Name: ULTRA CARE PLUS INC

Other Name: ULTRA CARE PLUS ADHC

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 05D0985308

Address:
38424 10TH ST E STE A
PALMDALE, CA
ZIP 93550
Phone: (661) 538-0899
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ULTRA CARE PLUS INC is an adult day care clinic center in Palmdale, CA. ULTRA CARE PLUS INC NPI is 1922144294. The provider is registered as an organization entity type.
The provider Other Name Is Ultra Care Plus Adhc.

The provider's business location address is:

38424 10TH ST E STE A
PALMDALE, CA
ZIP 93550-921
Phone: (661) 538-0899

The provider's authorized official is Mario Sison .
The authorized official title is Cfo and has the following contact phone number (661) 538-0899.

The CLIA number assigned to this NPI record is 05D0985308 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareCALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ADU70170FMEDICAIDCALIFORNIA

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: 11/14/2023

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