MEDICARE: UNLIMITED HORIZONS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1023526548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNLIMITED HORIZONS INC

Provider Business Mailing Address
First Line	:	1136 FOUR WYNDS TRL
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40515-1570
Country	:	US
Telephone Number	:	859-797-2499
Fax Number	:

Provider Business Practice Location Address
First Line	:	1136 FOUR WYNDS TRL
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40515-1570
Country	:	US
Telephone Number	:	859-797-2499
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARRIE BLACK
Credential	:
Telephone Number	:	859-797-2499

Provider Enumeration Date	:	01/18/2018
Last Update Date	:	01/18/2018

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