Provider Demographics
NPI:1366039109
Name:ULTIMATE BEGINNINGS LLC
Entity Type:Organization
Organization Name:ULTIMATE BEGINNINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELMIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-284-9394
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-0083
Mailing Address - Country:US
Mailing Address - Phone:330-284-9394
Mailing Address - Fax:
Practice Address - Street 1:409 S PROSPECT ST REAR
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3013
Practice Address - Country:US
Practice Address - Phone:330-284-9394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care