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General NPI Number Information
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NPI Number | 1467475467
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Entity Type | Organization
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Legal Business Name | ULTIMATE HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 21700 GREENFIELD RD STE 253
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City | OAK PARK
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State | MI
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Zip | 48237-2551
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Country | US
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Telephone | 313-333-1423
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Fax | 248-557-4563
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Provider Business Mailing Address
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Address Line | 21700 GREENFIELD RD STE 253
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City | OAK PARK
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State | MI
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Zip | 48237-2551
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Country | US
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Telephone | 313-333-1423
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Fax | 248-557-4563
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MOHAMMAD FARID
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Credential | BSC PHYSICAL THERAPY
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Telephone | 313-333-1423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 33192A
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License Number State | MI
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