Provider Demographics
NPI:1326405853
Name:ULTIMATE SERVICES FOR YOU
Entity Type:Organization
Organization Name:ULTIMATE SERVICES FOR YOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:BER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-891-0080
Mailing Address - Street 1:1506 SHEEPSHEAD BAY RD FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3818
Mailing Address - Country:US
Mailing Address - Phone:718-891-0080
Mailing Address - Fax:
Practice Address - Street 1:1506 SHEEPSHEAD BAY RD FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3818
Practice Address - Country:US
Practice Address - Phone:718-891-0080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-28
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1059L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04175444Medicaid