Provider Demographics
NPI:1730446105
Name:MARGRET ULTRA HOME CARE INC
Entity type:Organization
Organization Name:MARGRET ULTRA HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGRET
Authorized Official - Middle Name:
Authorized Official - Last Name:UKATU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-815-8089
Mailing Address - Street 1:444 USS MISSOURI LN
Mailing Address - Street 2:APT 2
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-5089
Mailing Address - Country:US
Mailing Address - Phone:347-857-6835
Mailing Address - Fax:
Practice Address - Street 1:34 BEACH ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-2702
Practice Address - Country:US
Practice Address - Phone:718-815-8089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3057871251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health