Provider Demographics
NPI:1821662024
Name:ULTRA HOSPICE CARE
Entity Type:Organization
Organization Name:ULTRA HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:LITVAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-476-5558
Mailing Address - Street 1:24868 APPLE ST STE 203A
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91321-5037
Mailing Address - Country:US
Mailing Address - Phone:661-476-5170
Mailing Address - Fax:
Practice Address - Street 1:24868 APPLE ST STE 203A
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91321-5037
Practice Address - Country:US
Practice Address - Phone:661-476-5170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based