MEDICARE: ULITMATE CARE SERVICES, 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
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1912617291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ULITMATE CARE SERVICES, INC

Provider Business Mailing Address
First Line	:	225 FAIRWAY BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2071
Country	:	US
Telephone Number	:	888-697-7702
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 FAIRWAY BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2071
Country	:	US
Telephone Number	:	614-377-0984
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	RUDRA BANIYA
Credential	:
Telephone Number	:	888-697-7702

Provider Enumeration Date	:	11/28/2022
Last Update Date	:	05/28/2025

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