MEDICARE: ULTIMATE HOME CARE, INC.

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		FL

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	:	1841480480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ULTIMATE HOME CARE, INC.

Provider Business Mailing Address
First Line	:	2020 NE 163RD ST
Second Line	:	SUITE 300
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4927
Country	:	US
Telephone Number	:	305-935-6900
Fax Number	:	305-935-6900

Provider Business Practice Location Address
First Line	:	2020 NE 163RD ST
Second Line	:	SUITE 300
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4927
Country	:	US
Telephone Number	:	305-935-6900
Fax Number	:	305-935-6900

Authorized Official
Title or Position	:	CFO
Name	:	RENATA SARMAITYTE
Credential	:
Telephone Number	:	305-935-6900

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	07/30/2007

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Directions to “ULTIMATE HOME CARE, INC. ” Practice Location

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