Provider Demographics
NPI:1437175841
Name:ULTRA HEALTH CARE INC
Entity type:Organization
Organization Name:ULTRA HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-210-8677
Mailing Address - Street 1:1780 POLK ST
Mailing Address - Street 2:11TH FLOOR SUITE B
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4611
Mailing Address - Country:US
Mailing Address - Phone:954-210-8677
Mailing Address - Fax:954-272-7677
Practice Address - Street 1:1780 POLK ST
Practice Address - Street 2:11TH FLOOR SUITE B
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4611
Practice Address - Country:US
Practice Address - Phone:954-210-8677
Practice Address - Fax:954-272-7677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992417251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108388Medicare Oscar/Certification