Provider Demographics
NPI:1235975715
Name:ULTIMATE CARE LLC
Entity type:Organization
Organization Name:ULTIMATE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-947-4918
Mailing Address - Street 1:2974 SUMMER MIST CT
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1874
Mailing Address - Country:US
Mailing Address - Phone:907-339-1553
Mailing Address - Fax:907-339-1554
Practice Address - Street 1:9715 NEWHAVEN LOOP
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-4429
Practice Address - Country:US
Practice Address - Phone:907-947-4918
Practice Address - Fax:907-339-1554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances