Provider Demographics
NPI:1922451327
Name:MARGRET ULTRA HOME CARE
Entity Type:Organization
Organization Name:MARGRET ULTRA HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGRET
Authorized Official - Middle Name:
Authorized Official - Last Name:UKATU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-815-8089
Mailing Address - Street 1:34 BEACH ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-2702
Mailing Address - Country:US
Mailing Address - Phone:718-815-8089
Mailing Address - Fax:
Practice Address - Street 1:34 BEACH ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-2702
Practice Address - Country:US
Practice Address - Phone:718-815-8089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility