ULTIMATE GOAL HOME CARE AGENCY INC (NPI# 1437441896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437441896 |
| Entity Type | Organization |
| Organization Name | ULTIMATE GOAL HOME CARE AGENCY INC |
| Practice Address |
4920 Niagara Rd Ste 318 College Park MD 20740-1110 |
| Practice Telephone | 2023447574 |
| Practice Fax Number | 2022045726 |
| Mailing Telephone | 2027250560 |
| Mailing Fax Number | 2022045726 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-27 |
| Authorized Official Name | MR. ARREY KINGSLY ETCHIBANYI (ADMINISTRATOR) |
| Authorized Official Telephone | 2027250560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | NSA-0214 | DC | Agencies |
| Y | 251E00000X | Home Health | 100401 | MD | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396039194 | Ultimate Goal Home Care Agency Inc | Home Health | 3300 County Road 10 Ste 400b, Brooklyn Center, MN 55429-3067 | 2011-06-09 |
| Street Address |
4920 NIAGARA RD STE 318 |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20740-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043647175 | Koudzo Somenou | Home Health Aide | 4920 Niagara Rd Ste 318, College Park, MD 20740-1157 | 2013-10-03 |
| 1841627213 | Gertrudis Oben Molico | Home Health Aide | 4920 Niagara Rd Ste 318, College Park, MD 20740-1157 | 2013-10-01 |
| 1093142721 | Naomi Ngonde Namata | Home Health Aide | 4920 Niagara Rd Ste 318, College Park, MD 20740-1157 | 2013-09-26 |
| 1821430083 | Clementina Sama Sesay | Home Health Aide | 4920 Niagara Rd Ste 318, Ste 318, College Park, MD 20740-1157 | 2013-07-29 |
| 1023458569 | Samuel Nii Boye Yemoh | Home Health Aide | 4920 Niagara Rd Ste 318, College Park, MD 20740-1157 | 2013-06-28 |
| 1295174357 | Stanislus E Eban | Home Health Aide | 4920 Niagara Rd Ste 318, College Park, MD 20740-1157 | 2013-06-21 |
| 1194164236 | Ezekiel Alaka | Home Health Aide | 4920 Niagara Rd Ste 318, College Park, MD 20740-1157 | 2013-06-21 |
| 1265871305 | Alain N Langueu | Home Health Aide | 4920 Niagara Rd Ste 318, College Park, MD 20740-1157 | 2013-06-21 |
| 1124467261 | Joseph Olaloye | Home Health Aide | 4920 Niagara Rd Ste 318, College Park, MD 20740-1157 | 2013-06-21 |
| 1295174340 | Akin O Kujore | Home Health Aide | 4920 Niagara Rd Ste 318, College Park, MD 20740-1157 | 2013-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147633 | S.a.f.e. Counseling Services LLC | Counselor | 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 | 2020-02-23 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1760981120 | L. Jones-dove & Associates Tooth Spa LLC | Dentist | 6103 Greenbelt Road, College Park, MD 20740 | 2018-02-12 |
| 1538682257 | Heather Gambacorto | Behavior Technician | 3525 Marlbrough Way, College Park, MD 20740 | 2017-07-25 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
| 1659728517 | Brownstone Project In Md | Community/Behavioral Health | 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 | 2016-05-20 |
| 1114371093 | Thomas Lowell Bennett | Specialist/Technologist | 7675 Baltimore Ave, R 0100, College Park, MD 20740 | 2016-04-18 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1124427927 | Sarah Elizabeth Woerner | Pharmacist | 7300 Baltimore Boulevard, College Park, MD 20740 | 2014-08-18 |
| Find all providers in zip 20740 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649818493 | Sucare Home Care Services | Home Health | 4920 Niagara Rd Ste 103, College Park, MD 20740-1110 | 2019-12-11 |
| 1215401617 | Phenix Community Care Group, LLC | Home Health | 6010 Yellowood Ct, College Park, GA 30349-6993 | 2019-01-18 |
| 1649763038 | Community Health and Education Services LLC | Home Health | 7761 Diamondback Drive, College Park, MD 20742-2927 | 2018-06-11 |
| 1598265142 | Living Hope Home Care LLC | Home Health | 4854 Old National Hwy Ste 204, College Park, GA 30337-6245 | 2018-02-20 |
| 1932635943 | Advent Nursing Care Services Inc | Home Health | 9601 Baltimore Ave Ste A1, College Park, MD 20740-1355 | 2017-05-11 |
| 1154707529 | Sacred Care | Home Health | 5516 Glen Haven Dr, College Park, GA 30349-6728 | 2015-08-07 |
| 1336540061 | Community Support System LLC | Home Health | 4920 Niagara Rd Ste 402, College Park, MD 20740-1158 | 2014-09-12 |
| 1134568611 | Gods Appointed Time Private Homecare | Home Health | 2625 Charlestown Dr, College Park, GA 30337-3943 | 2013-06-18 |
| 1497018550 | Valerie Banks | Home Health | 3820 Clearwater Drive, College Park, GA 30349 | 2012-06-22 |
| 1053641738 | In Helping Hands LLC | Home Health | 5401 Old National Hwy Apt 1506, College Park, GA 30349-3225 | 2010-01-02 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 20740 |
Please comment or provide details below to improve the information on ULTIMATE GOAL HOME CARE AGENCY INC.
| 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.