Healthcare Provider Details

I. General information

NPI: 1164398046
Provider Name (Legal Business Name): ULTIMATE CARE HEALTH SERVICES II INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8460 WATSON RD STE 120
SAINT LOUIS MO
63119-5247
US

IV. Provider business mailing address

8460 WATSON RD STE 120
SAINT LOUIS MO
63119-5247
US

V. Phone/Fax

Practice location:
  • Phone: 314-769-1020
  • Fax: 314-769-1020
Mailing address:
  • Phone: 314-600-8879
  • Fax: 314-228-2005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TERRIKAH COOK
Title or Position: OWNER
Credential:
Phone: 314-769-1020