Healthcare Provider Details

I. General information

NPI: 1700376415
Provider Name (Legal Business Name): UNLIMITED CARE 4 CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2018
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 RICHMOND DR
STAFFORD VA
22554-1916
US

IV. Provider business mailing address

1104 RICHMOND DR
STAFFORD VA
22554-1916
US

V. Phone/Fax

Practice location:
  • Phone: 571-330-9318
  • Fax:
Mailing address:
  • Phone: 571-330-9318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MONIQUE MARIE COUNCIL
Title or Position: OWNER
Credential:
Phone: 571-330-9318