Organization Active NPI

Ultimate Home Care, Inc.

  • Home Health Agency
  • North Miami Beach, FL
National Provider Identifier
1841480480
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ULTIMATE HOME CARE, INC.
Practice address
2020 NE 163Rd St
Suite 300
North Miami Beach, FL 33162-4927
Phone
(305) 935-6900
Fax
(305) 935-6900
NPI assigned
Jul 30, 2007
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Renata Sarmaityte
Title
Cfo
Phone
(305) 935-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X FL Primary

Addresses

Primary practice location

2020 NE 163Rd St
Suite 300
North Miami Beach, FL 33162-4927

Mailing address

2020 NE 163Rd St
Suite 300
North Miami Beach, FL 33162-4927
Phone (305) 935-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080307000446 FL Part A Provider - Home Health Agency 9739286287 Practice locations: North Miami Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841480480. Details of each certification follow.

Home health agency certification: CCN 109781

Legal name
ULTIMATE HOME CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 28, 2011
Last certification
Jul 9, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 16, 2006 in FL
Enrollment address
2020 NE 163Rd St
Suite 300
North Miami Beach, FL 33162-4927

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ultimate Home Care IncCCN 109781 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Dec 28, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
10D1074749Ultimate Home Care Inc2020 NE 163Rd St Ste 300, North Miami Beach, FL 33162Certificate of waiverOct 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ultimate Home Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1001 N Federal Hwy
Ste 339
Hallandale Beach, FL 33009
Phone (954) 456-0020

1001 N Federal Hwy
Ste 342
Hallandale Beach, FL 33009
Phone (954) 456-0020

2020 NE 163rd St
Ste 300
North Miami Beach, FL 33162
Phone (305) 949-1515

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Irina Zubok Individual 5% Or Greater Direct Ownership Interest Feb 29, 2008
General Partnership Interest Feb 29, 2008
Corporate Director Feb 29, 2008
W-2 Managing Employee Jan 1, 2017 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ultimate Home Care, Inc.Hallandale Beach, FL, CCN 108450 Home health agency Operational/Managerial Control Oct 1, 2006

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1841480480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD ST",
            "address_2": "SUITE 300",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624927",
            "telephone_number": "305-935-6900",
            "fax_number": "305-935-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD ST",
            "address_2": "SUITE 300",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624927",
            "telephone_number": "305-935-6900",
            "fax_number": "305-935-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "SARMAITYTE",
        "authorized_official_first_name": "RENATA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "305-935-6900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.