MEDICARE: ULTIMATE CARING HOME HEALTH LLC

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	163WH0200X	Home Health Registered Nurse
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1528237500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ULTIMATE CARING HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	11300 N CENTRAL EXPY STE 205
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-6705
Country	:	US
Telephone Number	:	214-361-3551
Fax Number	:	214-361-3558

Provider Business Practice Location Address
First Line	:	11300 N CENTRAL EXPY STE 205
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-6705
Country	:	US
Telephone Number	:	214-361-3551
Fax Number	:	214-361-3558

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ANTHONY C NWAUBANI
Credential	:
Telephone Number	:	214-346-3551

Provider Enumeration Date	:	02/25/2008
Last Update Date	:	08/29/2025

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