Provider Demographics
NPI:1962743468
Name:ULTIMATE CAREGIVERS LLC
Entity type:Organization
Organization Name:ULTIMATE CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NAWAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-508-0098
Mailing Address - Street 1:840 BOSTON POST RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-1828
Mailing Address - Country:US
Mailing Address - Phone:203-508-0098
Mailing Address - Fax:
Practice Address - Street 1:840 BOSTON POST RD
Practice Address - Street 2:SUITE 7
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-1828
Practice Address - Country:US
Practice Address - Phone:203-508-0098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health