ULTIMATE HOME CARE AGENCY LLC


Address: 901 W Girard Ave, Ste 105, Philadelphia, PA 19123-1216
Phone: 2156208807

ULTIMATE HOME CARE AGENCY LLC (NPI# 1093256653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093256653
Entity Type Organization
Organization Name ULTIMATE HOME CARE AGENCY LLC
Practice Address 901 W Girard Ave
Ste 105
Philadelphia
PA 19123-1216
Practice Telephone 2156208807
Mailing Telephone 2156208807
Enumeration Date 2017-03-15
Last Update Date 2017-03-15
Authorized Official Name JULIANA BOATENG HAGAN (ADMINISTRATOR)
Authorized Official Telephone 2156208807
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 32023601 PA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
PA 32023601 05

Office Location

Street Address 901 W GIRARD AVE
STE 105
City PHILADELPHIA
State PA
Zip Code 19123-1216

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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Competitor

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City PHILADELPHIA
Zip Code 19123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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