MEDICARE: ULTIMATE HEALTH FIRST INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency
3	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1144991704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ULTIMATE HEALTH FIRST INC.

Provider Business Mailing Address
First Line	:	5721 RITCHIE HWY
Second Line	:
City	:	BROOKLYN
State	:	MD
Zip	:	21225-3640
Country	:	US
Telephone Number	:	585-415-1942
Fax Number	:

Provider Business Practice Location Address
First Line	:	5721 RITCHIE HWY
Second Line	:
City	:	BROOKLYN
State	:	MD
Zip	:	21225-3640
Country	:	US
Telephone Number	:	585-415-1942
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DORIS BEN
Credential	:
Telephone Number	:	585-415-1942

Provider Enumeration Date	:	09/23/2021
Last Update Date	:	03/22/2024

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