Active NPI
Ultimate Home Healthcare Services, Inc.
- Home Health Agency
- Reynoldsburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 200410701434
- Legal business name
- ULTIMATE HOME HEALTHCARE SERVICES, INC.
- Practice address
- 7656 Slate Ridge Blvd
Reynoldsburg, OH 43068-8158 - Phone
- (614) 218-7002
- Fax
- (614) 868-6980
- NPI assigned
- May 11, 2006
- Last updated
- Oct 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tamba M Tandanpolie
- Title
- President & Ceo
- Phone
- (614) 218-7002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 200410701434 | OH | Primary |
Addresses
Primary practice location
7656 Slate Ridge Blvd
Reynoldsburg, OH 43068-8158
Mailing address
7656 Slate Ridge Blvd
Reynoldsburg, OH 43068-8158
Phone (614) 218-7002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2612677 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050722000341 | OH | Part A Provider - Home Health Agency | 3173550092 | Practice locations: Lancaster, OH; Reynoldsburg, OH |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1831149624. Details of each certification follow.
Home health agency certification: CCN 368120
- Legal name
- ULTIMATE HOME HEALTHCARE SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 18, 2005
- Last certification
- Dec 5, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Other
- Incorporated
- Apr 16, 2004 in OH
- Enrollment address
- 7656 Slate Ridge Blvd
Reynoldsburg, OH 43068-8158
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Ultimate Home Healthcare Services, Inc
- Ownership
- Proprietary
- Certified
- Nov 18, 2005
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1048059 | Ultimate Home Healthcare Services, Inc | Certificate of waiver | Nov 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
4130 Linden Ave
Ste 307
Dayton, OH 45432
Phone (614) 218-7002
432 S Ewing St
Lancaster, OH 43130
Phone (740) 422-8244
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kim Tandanpolie | 5% Or Greater Direct Ownership Interest | Jan 19, 2004 | 50% |
| W-2 Managing Employee | Jan 19, 2004 | ||
| Tamba Tandanpolie | 5% Or Greater Direct Ownership Interest | Jan 19, 2004 | |
| Corporate Director | Jul 22, 2005 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Columbus, OH
- NPI 1295558690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759276800000",
"number": "1831149624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7656 SLATE RIDGE BLVD",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430688158",
"telephone_number": "614-218-7002",
"fax_number": "614-868-6980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7656 SLATE RIDGE BLVD",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430688158",
"telephone_number": "614-218-7002",
"fax_number": "614-868-6980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTIMATE HOME HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A",
"authorized_official_last_name": "TANDANPOLIE",
"authorized_official_first_name": "TAMBA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "614-218-7002",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "200410701434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2612677",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.