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
1	251E00000X	Home Health Agency		MI

General Provider Information

NPI Number	:	1629301494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ULTIMATE HOME CARE,INC.

Provider Business Mailing Address
First Line	:	39880 VAN DYKE AVE.
Second Line	:	SUITE 204
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313
Country	:	US
Telephone Number	:	586-883-7510
Fax Number	:	586-883-9307

Provider Business Practice Location Address
First Line	:	39880 VAN DYKE AVE STE 204
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-4670
Country	:	US
Telephone Number	:	586-883-7510
Fax Number	:	586-883-9307

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. FAHMIDA I. CHOWDHURY
Credential	:
Telephone Number	:	586-883-7510

Provider Enumeration Date	:	09/11/2009
Last Update Date	:	08/07/2015

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