MEDICARE: THE ULTIMATE HOME CARE, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	376J00000X	Homemaker
2	251J00000X	Nursing Care Agency
3	253Z00000X	In Home Supportive Care Agency
4	372600000X	Adult Companion
5	251E00000X	Home Health Agency

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	:	1407804016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ULTIMATE HOME CARE, INC

Provider Business Mailing Address
First Line	:	710 N POST OAK RD STE 350
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3853
Country	:	US
Telephone Number	:	281-741-4660
Fax Number	:	281-741-4729

Provider Business Practice Location Address
First Line	:	710 N POST OAK RD STE 350
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3853
Country	:	US
Telephone Number	:	281-741-4660
Fax Number	:	281-741-4729

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. JULYSA BALENSIA
Credential	:
Telephone Number	:	328-609-6068

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	04/06/2026

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