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Provider Demographic Information - ULTIMATE LIVING SERVICES INC

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	ULTIMATE LIVING SERVICES INC
Address:	146 WALNUT AVE CROYDON, PA 19021-5441
Phone:	(267) 159-1810
E-mail:	UTLIVSERV@GMAIL.COM
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Corporate Office
Name:	ULTIMATE LIVING SERVICES INC
Address:	146 WALNUT AVE CROYDON, PA 19021-5441
Phone:	(267) 159-1810

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Berks
\|Service Name / Level	\|Rate

Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS	Not Set

County : Bucks
\|Service Name / Level	\|Rate

Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS	Not Set

County : Delaware
\|Service Name / Level	\|Rate

Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS	Not Set

County : Philadelphia
\|Service Name / Level	\|Rate

Respite-Life Sharing-Day (Level 3, 1:1) In-Home	$343.22 / 1 Day
Respite-Life Sharing-Day (Level 3, 1:1)In-Home-ECS	Not Set
Respite-Life Sharing-Day (Level 3,1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Life Sharing-Day(Lvl 3,1:1 Enh)In-Home-ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TD	Not Set
Respite-Unlic,15-min(Level 3, 1:1 Enhcd)ECS - TE	Not Set
Respite-Unlic- 15-min (Basic 1:4)	$2.44 / 15 min.
Respite-Unlic- 15-min (Basic 1:4) ECS	Not Set
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd)	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TD	$13.28 / 15 min.
Respite-Unlic- 15-min(Level 3, 1:1 Enhcd) - TE	$13.28 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$8.59 / 15 min.
Respite-Unlic-15-min(Level 3, 1:1)In-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TD	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home - TE	$531.24 / 1 Day
Respite-Unlic-Day (Level 3, 1:1 Enh) In-Home-ECS	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TD	Not Set
Respite-Unlic-Day (Level 3, 1:1 Enh)In-Hme-ECS -TE	Not Set
Respite-Unlic-Day (Level 3, 1:1) In-Home-ECS	Not Set

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