Organization Active NPI

Ultimate Home Healthcare Services, Inc.

  • Home Health Agency
  • Reynoldsburg, OH
National Provider Identifier
1831149624
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
200410701434 Issued in OH
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2612677MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
OtherProprietary
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, IncCCN 368120 · All quality measures
Ownership
Proprietary
Certified
Nov 18, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1048059Ultimate Home Healthcare Services, Inc7656 Slate Ridge Blvd, Reynoldsburg, OH 43068Certificate of waiverNov 20, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Kim Tandanpolie Individual 5% Or Greater Direct Ownership Interest Jan 19, 2004 50%
W-2 Managing Employee Jan 19, 2004
Tamba Tandanpolie Individual 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.

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

Verify at the official NPI Registry.