Provider Demographics
NPI:1083369029
Name:ULTIMATE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:ULTIMATE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ALT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OSHIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:757-292-0172
Mailing Address - Street 1:4009 LONG POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-5348
Mailing Address - Country:US
Mailing Address - Phone:757-292-0172
Mailing Address - Fax:
Practice Address - Street 1:500 WASHINGTON ST STE 14
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-3508
Practice Address - Country:US
Practice Address - Phone:757-966-6600
Practice Address - Fax:757-966-6863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health