Provider Demographics
NPI:1093778599
Name:ULTIMATE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:ULTIMATE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OSAGHAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-779-3177
Mailing Address - Street 1:11070 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-3928
Mailing Address - Country:US
Mailing Address - Phone:773-779-3177
Mailing Address - Fax:773-779-3775
Practice Address - Street 1:11070 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-3928
Practice Address - Country:US
Practice Address - Phone:773-779-3177
Practice Address - Fax:773-779-3775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-07
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147704Medicare Oscar/Certification