Provider Demographics
NPI:1275596074
Name:ULTIMATE HOME CARE INC
Entity Type:Organization
Organization Name:ULTIMATE HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOPIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-244-4210
Mailing Address - Street 1:616 E GLENOAKS BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-1777
Mailing Address - Country:US
Mailing Address - Phone:818-244-4210
Mailing Address - Fax:818-244-4270
Practice Address - Street 1:616 E GLENOAKS BLVD STE 204
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-1778
Practice Address - Country:US
Practice Address - Phone:818-244-4210
Practice Address - Fax:818-244-4270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08136FMedicaid
CAHHA08136FMedicaid