Provider Demographics
NPI:1588739288
Name:ULTIMATE CARE SERVICES INC
Entity type:Organization
Organization Name:ULTIMATE CARE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAOJEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-263-0037
Mailing Address - Street 1:PO BOX 1602
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90249
Mailing Address - Country:US
Mailing Address - Phone:310-263-0037
Mailing Address - Fax:310-263-0037
Practice Address - Street 1:13841 HAWTHORNE BOULEVARD
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250
Practice Address - Country:US
Practice Address - Phone:310-263-0037
Practice Address - Fax:310-263-0037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4085140001Medicare ID - Type Unspecified