Provider Demographics
NPI:1831149624
Name:ULTIMATE HOME HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:ULTIMATE HOME HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TAMBA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TANDANPOLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-218-7002
Mailing Address - Street 1:2242 S HAMILTON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4300
Mailing Address - Country:US
Mailing Address - Phone:614-218-7002
Mailing Address - Fax:614-868-6980
Practice Address - Street 1:2242 S HAMILTON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4300
Practice Address - Country:US
Practice Address - Phone:614-218-7002
Practice Address - Fax:614-868-6980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200410701434251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2612677Medicaid
OH2612677Medicaid