Provider Demographics
NPI:1437447869
Name:ULTRA HOME CARE SERVICES
Entity Type:Organization
Organization Name:ULTRA HOME CARE SERVICES
Other - Org Name:ULTRA HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMINGAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-201-2264
Mailing Address - Street 1:165 CRANBROOK CT
Mailing Address - Street 2:
Mailing Address - City:GASTON
Mailing Address - State:SC
Mailing Address - Zip Code:29053-8112
Mailing Address - Country:US
Mailing Address - Phone:803-767-3834
Mailing Address - Fax:803-939-7140
Practice Address - Street 1:165 CRANBROOK CT
Practice Address - Street 2:
Practice Address - City:GASTON
Practice Address - State:SC
Practice Address - Zip Code:29053-8112
Practice Address - Country:US
Practice Address - Phone:803-767-3834
Practice Address - Fax:803-939-7140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCP23769251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care