MEDICARE: ULTIMATE CARE COMMUNITY 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1861354854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ULTIMATE CARE COMMUNITY HEALTH LLC

Provider Business Mailing Address
First Line	:	18 RUTH CIR
Second Line	:
City	:	HAVERHILL
State	:	MA
Zip	:	01832-8900
Country	:	US
Telephone Number	:	339-331-3521
Fax Number	:	978-238-1816

Provider Business Practice Location Address
First Line	:	18 RUTH CIR
Second Line	:
City	:	HAVERHILL
State	:	MA
Zip	:	01832-8900
Country	:	US
Telephone Number	:	339-331-3521
Fax Number	:	978-238-1816

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JULIET KYOTOWADDE
Credential	:	APRN, PMHNP-BC
Telephone Number	:	978-259-5440

Provider Enumeration Date	:	11/27/2025
Last Update Date	:	02/06/2026

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