Organization Active NPI

Ultimate Home Care Agency LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1093256653
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
32023601 Issued in PA
Legal business name
ULTIMATE HOME CARE AGENCY LLC
Practice address
901 W Girard Ave
Ste 105
Philadelphia, PA 19123-1216
Phone
(215) 620-8807
NPI assigned
Mar 15, 2017
Last updated
Mar 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juliana Boateng Hagan
Title
Administrator
Phone
(215) 620-8807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 32023601 PA Primary

Addresses

Primary practice location

901 W Girard Ave
Ste 105
Philadelphia, PA 19123-1216

Mailing address

901 W Girard Ave
Ste 105
Philadelphia, PA 19123-1216
Phone (215) 620-8807

Other identifiers 1

IdentifierTypeStateIssuer
32023601MedicaidPA

National Provider Directory

National Provider Directory

Locations

901 W Girard Ave
Ste 105
Philadelphia, PA 19123
Phone (215) 620-8807

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1093256653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W GIRARD AVE",
            "address_2": "STE 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231216",
            "telephone_number": "215-620-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W GIRARD AVE",
            "address_2": "STE 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231216",
            "telephone_number": "215-620-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "BOATENG HAGAN",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-620-8807"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "32023601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32023601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.