ULTIMATE FAMILY CARE HOME INC.
NPI 1225276868
Custodial Care Facility - Adult Care Home in Smithfield, NC

NPI Status: Active since February 04, 2009

Contact Information

817 S 2ND ST
SMITHFIELD, NC
ZIP 27577
Phone: (919) 880-3144
Fax: (919) 550-2163

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  • Organization
  • Custodial Care Facility
  • Adult Care Home
  • CLIA Number: 34D2055765
  • CLIA Cert. Type: Other - MH GROUP HOME
  • CLIA Exp. Date: 03-17-2027

About ULTIMATE FAMILY CARE HOME INC.

This page provides the complete NPI Profile along with additional information for Ultimate Family Care Home Inc., a provider established in Smithfield, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1225276868 assigned on February 2009. The practitioner's primary taxonomy code is 311ZA0620X with license number FCL051038 (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's former legal business name is Ultimate Healthcare Services Inc.. The authorized official of this NPI record is Mr. Innocent Obiezirike Ezuma (Chairman)

NPI
1225276868
Provider Legal Name
ULTIMATE FAMILY CARE HOME INC.
Other Organization Name
ULTIMATE HEALTHCARE SERVICES INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
817 S 2ND ST SMITHFIELD, NC 27577
Location Phone
(919) 880-3144
Location Fax
(919) 550-2163
Mailing Address
817 S 2ND ST SMITHFIELD, NC 27577
Mailing Phone
(919) 880-3144
Mailing Fax
(919) 550-2163
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-04-2009
Last Update Date
04-06-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
FCL051038
License State
NC
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

FCL051050 (NC)
2311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

MHL051203 (NC)
3311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

MHL051192 (NC)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. INNOCENT OBIEZIRIKE EZUMA

Authorized Official Title
CHAIRMAN
Authorized Official Phone
(919) 880-3144

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2055765
Facility Type
Other - MH GROUP HOME
Certificate Effective Date
March 18, 2025
Certificate Expiration Date
March 17, 2027
Laboratory Director
LILLIAN OKORO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ultimate Family Care Home Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225276868, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 4 + 7 + 1 + 2 + 8 + 1 + 2 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1225276868.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225276868, enumerated as an "organization" on February 04, 2009.

The provider is located at 817 S 2ND ST SMITHFIELD, NC 27577 and the phone number is (919) 880-3144.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.