Provider Demographics
NPI:1942470372
Name:ULTIMATE KEEPERS HOME CARE, INC.
Entity Type:Organization
Organization Name:ULTIMATE KEEPERS HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KWABENA
Authorized Official - Middle Name:
Authorized Official - Last Name:NSIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-520-0153
Mailing Address - Street 1:8993 COTSWOLD DR
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1601
Mailing Address - Country:US
Mailing Address - Phone:703-520-0153
Mailing Address - Fax:703-831-1940
Practice Address - Street 1:8993 COTSWOLD DR
Practice Address - Street 2:SUITE # 2
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1601
Practice Address - Country:US
Practice Address - Phone:703-520-0153
Practice Address - Fax:703-831-1940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-11487251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health