Ultimate Care Supported Living LLC
Assisted Living Facility (Assisted Living, Mental Illness)

Address: 5300 E Main St Ste 100, Columbus, OH 43213-2580
Phone: 6148683821

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).

Provider Overview

Nation Provider Identifier (NPI) 1508467853
Entity Type Organization
Practice Address 5300 E Main St Ste 100
OH 43213-2580
Practice Telephone 6148683821
Practice Fax Number 6148683921
Mailing Address 5300 E Main St
OH 43213-2580
Mailing Telephone 6148683821
Authorized Official Name Mr. Samuel Braima (PRESIDENT)
Authorized Official Telephone 6148683821
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-03
Last Update Date 2020-11-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 3104A0630X Assisted Living Facility · Assisted Living, Behavioral Disturbances Nursing & Custodial Care Facilities
Yes 3104A0625X Assisted Living Facility · Assisted Living, Mental Illness Nursing & Custodial Care Facilities

Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

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]

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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
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Office Location

Street Address 5300 E MAIN ST STE 100
State OH
Zip Code 43213-2580

Providers in the same zip code

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
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Zip Code 43213

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Dataset Information

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.