Healthcare Provider Details

I. General information

NPI: 1487559498
Provider Name (Legal Business Name): UNLIMITED HEALTHCARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 BRADY WALK
LAWRENCEVILLE GA
30046-8846
US

IV. Provider business mailing address

275 BRADY WALK
LAWRENCEVILLE GA
30046-8846
US

V. Phone/Fax

Practice location:
  • Phone: 678-236-8475
  • Fax:
Mailing address:
  • Phone: 678-236-8475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MISS MICHELLE CHAMBERS
Title or Position: OWNER/ADMINISTRATOR
Credential: LPN
Phone: 678-236-8475