Provider Demographics
NPI:1437699949
Name:ULTIMATE CARE LLC
Entity Type:Organization
Organization Name:ULTIMATE CARE LLC
Other - Org Name:THE ULTIMATE CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AYESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUAINOO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-581-9075
Mailing Address - Street 1:9628 SLOWAY COAST DR
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-2787
Mailing Address - Country:US
Mailing Address - Phone:703-581-9075
Mailing Address - Fax:703-646-5322
Practice Address - Street 1:9628 SLOWAY COAST DR
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-2787
Practice Address - Country:US
Practice Address - Phone:703-581-9075
Practice Address - Fax:703-646-5322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health