Ultimate Sacrifice
LBN: Ultimate Sacrifice
Ultimate Sacrifice is an health care organization with primary practice located at 2290 Premier Park Ln , Winston Salem NC 27105-6306. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Ultimate Sacrifice can be contacted via phone (336) 254-5796, or through Hoyle, Jasmine Tiara via phone (336) 254-5796.
Contact Information
Primary practice address
2290 Premier Park Ln
Winston Salem NC 27105-6306
Phone: (336) 254-5796
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family Health | 364SF0001X |
Profile Details
| NPI number | 1568050573 |
|---|---|
| LBN Legal business name | Ultimate Sacrifice |
| DBA Doing business as | |
| Authorized official | Hoyle, Jasmine Tiara |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 5th, 2021 |
| Last updated | Aug 16th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568050573 | NPPES |
| North Carolina | MEDICAID | 99999 |
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