Provider Demographics
NPI:1225246135
Name:UCHENNA C. AKALUSO
Entity Type:Organization
Organization Name:UCHENNA C. AKALUSO
Other - Org Name:D/B/A ULTIMATE THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NNEAMAKA
Authorized Official - Middle Name:IHEOMA
Authorized Official - Last Name:AKALUSO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-252-1030
Mailing Address - Street 1:9950 WESTPARK DR STE 270
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5194
Mailing Address - Country:US
Mailing Address - Phone:832-252-1030
Mailing Address - Fax:832-252-1062
Practice Address - Street 1:9950 WESTPARK DR STE 270
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5194
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:2007-05-21
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9666251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1817165-01Medicaid
TX1817165-01Medicaid