Provider Demographics
NPI:1144586991
Name:UC ULTIMATE THERAPY SERVICES INC
Entity Type:Organization
Organization Name:UC ULTIMATE THERAPY SERVICES INC
Other - Org Name:UC ULTIMATE THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NNEAMAKA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKALUSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-252-1030
Mailing Address - Street 1:9900 WESTPARK DR STE 340
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5285
Mailing Address - Country:US
Mailing Address - Phone:832-252-1030
Mailing Address - Fax:832-252-1062
Practice Address - Street 1:9900 WESTPARK DR STE 340
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5285
Practice Address - Country:US
Practice Address - Phone:832-252-1030
Practice Address - Fax:832-252-1062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-05
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX677999251E00000X
261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181716501Medicaid
TX181716501Medicaid