Provider Demographics
NPI:1467475467
Name:ULTIMATE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ULTIMATE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FARID
Authorized Official - Suffix:
Authorized Official - Credentials:BSC PHYSICAL THERAPY
Authorized Official - Phone:313-333-1423
Mailing Address - Street 1:21700 GREENFIELD RD STE 253
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2551
Mailing Address - Country:US
Mailing Address - Phone:313-333-1423
Mailing Address - Fax:248-557-4563
Practice Address - Street 1:21700 GREENFIELD RD STE 253
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2551
Practice Address - Country:US
Practice Address - Phone:313-333-1423
Practice Address - Fax:248-557-4563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI33192A251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health