Healthcare Provider Details

I. General information

NPI: 1588036016
Provider Name (Legal Business Name): NURSES UNLIMITED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2015
Last Update Date: 08/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6603 SANGER AVE
WACO TX
76710
US

IV. Provider business mailing address

PO BOX 4534
ODESSA TX
79760-4534
US

V. Phone/Fax

Practice location:
  • Phone: 254-741-1326
  • Fax: 254-741-1431
Mailing address:
  • Phone: 432-580-2085
  • Fax: 432-580-2080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number016942
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. SAMANTHA YOUNG
Title or Position: ADMINISTRATOR
Credential: LNFA
Phone: 512-380-9339