Organization Active NPI

Ultimate Home Care LLC

  • In Home Supportive Care Agency
  • Fairfield, CT
National Provider Identifier
1154031813
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ULTIMATE HOME CARE LLC
Practice address
2452 Black Rock Tpke Ste 7
Fairfield, CT 06825-2407
Phone
(917) 514-4760
NPI assigned
Dec 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Yury VaysmanNPI 1033224639
Title
Owner/President
Phone
(917) 514-4760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2452 Black Rock Tpke Ste 7
Fairfield, CT 06825-2407

Mailing address

2452 Black Rock Tpke Ste 7
Fairfield, CT 06825-2407
Phone (917) 514-4760

National Provider Directory

National Provider Directory

Locations

2452 Black Rock Tpke
Ste 7
Fairfield, CT 06825
Phone (203) 549-1511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1154031813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 BLACK ROCK TPKE STE 7",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068252407",
            "telephone_number": "917-514-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 BLACK ROCK TPKE STE 7",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068252407",
            "telephone_number": "917-514-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "VAYSMAN",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "917-514-4760"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.