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NPI Code Detail

MEDICARE: ULTIMATE HOME CARE, INC.

MEDICARE: ULTIMATE HOME CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyHHA299992467FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205849296
Entity Type Code : Organization
Provider Name (Legal Business Name) : ULTIMATE HOME CARE, INC.
Provider Business Mailing Address
First Line : 1250 E HALLANDALE BEACH BLVD STE 905
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-4643
Country : US
Telephone Number : 954-456-0020
Fax Number : 954-456-1033
Provider Business Practice Location Address
First Line : 1250 E HALLANDALE BEACH BLVD STE 905
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-4643
Country : US
Telephone Number : 954-456-0020
Fax Number : 954-456-1033
Authorized Official
Title or Position : OWNER
Name : IRINA ZUBOK
Credential :
Telephone Number : 954-456-0020
Provider Enumeration Date : 08/14/2006
Last Update Date : 05/13/2019

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Directions to “ULTIMATE HOME CARE, INC. ” Practice Location

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