Provider Demographics
NPI:1346594520
Name:NE PLUS ULTRA
Entity Type:Organization
Organization Name:NE PLUS ULTRA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILL
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:901-371-6737
Mailing Address - Street 1:1740 NW 99TH CT
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-6753
Mailing Address - Country:US
Mailing Address - Phone:901-371-6737
Mailing Address - Fax:
Practice Address - Street 1:1740 NW 99TH CT
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-6753
Practice Address - Country:US
Practice Address - Phone:901-371-6737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care