MEDICARE: ULTIMATE SERVICES FOR YOU

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	1059L001	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1265742027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ULTIMATE SERVICES FOR YOU

Provider Business Mailing Address
First Line	:	1506 SHEEPSHEAD BAY RD FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3818
Country	:	US
Telephone Number	:	718-891-0080
Fax Number	:

Provider Business Practice Location Address
First Line	:	1506 SHEEPSHEAD BAY RD FL 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3818
Country	:	US
Telephone Number	:	718-891-0080
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. LEON BER
Credential	:
Telephone Number	:	718-891-0080

Provider Enumeration Date	:	10/14/2010
Last Update Date	:	11/23/2016

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