Provider Demographics
NPI:1336478387
Name:ULTRA CARE
Entity Type:Organization
Organization Name:ULTRA CARE
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-278-0250
Mailing Address - Street 1:802 E MARTINTOWN RD
Mailing Address - Street 2:SUITE 157
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-5308
Mailing Address - Country:US
Mailing Address - Phone:803-278-0250
Mailing Address - Fax:803-278-0251
Practice Address - Street 1:802 E MARTINTOWN RD
Practice Address - Street 2:SUITE 157
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29841-5308
Practice Address - Country:US
Practice Address - Phone:803-278-0250
Practice Address - Fax:803-278-0251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-21
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036-R-0010253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care