Provider Demographics
NPI:1053580357
Name:ULTRA CARE INC
Entity type:Organization
Organization Name:ULTRA CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR OF COMPLIANCE AUD
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:K
Authorized Official - Last Name:JANISZEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-913-3577
Mailing Address - Street 1:480 NORRISTOWN RD
Mailing Address - Street 2:SUITE B&C
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2355
Mailing Address - Country:US
Mailing Address - Phone:484-530-0880
Mailing Address - Fax:484-530-0088
Practice Address - Street 1:906 ILLINOIS RT 22
Practice Address - Street 2:
Practice Address - City:FOX RIVER GROVE
Practice Address - State:IL
Practice Address - Zip Code:60021
Practice Address - Country:US
Practice Address - Phone:847-516-2373
Practice Address - Fax:847-516-9809
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AIR PRODUCTS & CHEMICALS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-21
Last Update Date:2009-03-24
Deactivation Date:2008-03-10
Deactivation Code:
Reactivation Date:2008-04-07
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========002Medicaid
IL=========005Medicaid
IL=========005Medicaid