Provider Demographics
NPI:1619361813
Name:ULTRACARE IN-HOME SOLUTIONS
Entity Type:Organization
Organization Name:ULTRACARE IN-HOME SOLUTIONS
Other - Org Name:ULTRACARE IN-HOME SOLUTIONS, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLEN
Authorized Official - Middle Name:JACQUE
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:412-727-1391
Mailing Address - Street 1:10140 FRANKSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-2839
Mailing Address - Country:US
Mailing Address - Phone:412-727-1391
Mailing Address - Fax:412-727-1391
Practice Address - Street 1:10140 FRANKSTOWN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-2839
Practice Address - Country:US
Practice Address - Phone:412-727-1391
Practice Address - Fax:412-727-1391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA26853601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health