Provider Demographics
NPI:1245779503
Name:ULTIMATE HOME HEALTHCARE PROFESSIONALS LLC
Entity Type:Organization
Organization Name:ULTIMATE HOME HEALTHCARE PROFESSIONALS LLC
Other - Org Name:ULTIMATE HEALTHCARE PROS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:G
Authorized Official - Last Name:KAHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-558-0477
Mailing Address - Street 1:37 PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-1103
Mailing Address - Country:US
Mailing Address - Phone:781-558-0477
Mailing Address - Fax:
Practice Address - Street 1:37 PACIFIC ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-1103
Practice Address - Country:US
Practice Address - Phone:781-558-0477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health