Provider Demographics
NPI:1386759082
Name:AMA ULTIMATE HOME HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:AMA ULTIMATE HOME HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMAETTE
Authorized Official - Middle Name:E
Authorized Official - Last Name:OKON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-988-8668
Mailing Address - Street 1:10103 FONDREN RD STE 322
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4657
Mailing Address - Country:US
Mailing Address - Phone:713-988-8668
Mailing Address - Fax:713-988-8985
Practice Address - Street 1:10103 FONDREN RD STE 322
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4657
Practice Address - Country:US
Practice Address - Phone:713-988-8668
Practice Address - Fax:713-988-8985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008617251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679450Medicare Oscar/Certification