Ultimate Dream Homecare Agency LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ULTIMATE DREAM HOMECARE AGENCY LLC.

Practice address

6 Gramatan Ave Ste 506
Mount Vernon, NY 10550-3208

Phone

(929) 473-4475

Fax

(914) 488-6530

NPI assigned

Feb 14, 2022

Organization subpart

No

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

Authorized official

Name

Marva Pow, REGISTERED NURSENPI 1609410406

Title

Vice President/Clinical Director

Phone

(914) 733-5995

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marva J Pow, RN

  • Community Health Registered Nurse
  • Bronx, NY
  • NPI 1609410406
  NPD Authorized official

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1750036299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE STE 506",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503208",
            "telephone_number": "929-473-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE STE 506",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503208",
            "telephone_number": "929-473-4475",
            "fax_number": "914-488-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE DREAM HOMECARE AGENCY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "POW",
        "authorized_official_first_name": "MARVA",
        "authorized_official_title_or_position": "VICE PRESIDENT/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "914-733-5995",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.