Provider Demographics
NPI:1558551614
Name:ULTIMATE KEEPERS HOME CARE
Entity Type:Organization
Organization Name:ULTIMATE KEEPERS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:SERWAA
Authorized Official - Last Name:OPOKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-831-1940
Mailing Address - Street 1:10300 LURIA COMMONS CT
Mailing Address - Street 2:SUITE1A
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-2819
Mailing Address - Country:US
Mailing Address - Phone:703-831-1940
Mailing Address - Fax:703-825-1965
Practice Address - Street 1:10300 LURIA COMMONS CT
Practice Address - Street 2:SUITE1A
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-2819
Practice Address - Country:US
Practice Address - Phone:703-831-1940
Practice Address - Fax:703-825-1965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health