Provider Demographics
NPI:1912617291
Name:ULITMATE CARE SERVICES, INC
Entity type:Organization
Organization Name:ULITMATE CARE SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANIYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-697-7702
Mailing Address - Street 1:4241 N KIMBERLEY PARK WAY
Mailing Address - Street 2:4242 N KIMBERLEY PARK WAY
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-3539
Mailing Address - Country:US
Mailing Address - Phone:888-697-7702
Mailing Address - Fax:
Practice Address - Street 1:4241 N KIMBERLEY PARK WAY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-3539
Practice Address - Country:US
Practice Address - Phone:614-377-0984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome Health