Provider Demographics
NPI:1417613878
Name:ULTIMATE CARE HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:ULTIMATE CARE HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RATIDZO
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGUNJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-951-5721
Mailing Address - Street 1:203 WATERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-7476
Mailing Address - Country:US
Mailing Address - Phone:214-951-5721
Mailing Address - Fax:972-279-1370
Practice Address - Street 1:203 WATERWOOD DR
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-7476
Practice Address - Country:US
Practice Address - Phone:214-951-5721
Practice Address - Fax:972-279-1370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health