Provider Demographics
NPI:1225799786
Name:ULTIMATE HOPE LLC
Entity Type:Organization
Organization Name:ULTIMATE HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:UNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-822-8820
Mailing Address - Street 1:682 N WALTON DR
Mailing Address - Street 2:
Mailing Address - City:WHITEWATER
Mailing Address - State:WI
Mailing Address - Zip Code:53190-2604
Mailing Address - Country:US
Mailing Address - Phone:262-822-8820
Mailing Address - Fax:
Practice Address - Street 1:551 N OAKHILL AVE
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53548-2712
Practice Address - Country:US
Practice Address - Phone:608-563-0990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home