Healthcare Provider Details
I. General information
NPI: 1669749131
Provider Name (Legal Business Name): NURSES UNLIMITED, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/28/2011
Last Update Date: 04/30/2021
Certification Date: 04/30/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8140 N MOPAC EXPY SUITE 150 BLDG 1
AUSTIN TX
78759
US
IV. Provider business mailing address
PO BOX 4534
ODESSA TX
79760-4534
US
V. Phone/Fax
- Phone: 512-380-9339
- Fax: 512-380-9165
- Phone: 432-580-2085
- Fax: 432-580-2080
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 016942 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
SAMANTHA
YOUNG
Title or Position: ADMINISTRATOR
Credential: LNFA
Phone: 512-380-9339