MEDICARE: SL UNLIMITED LLC

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	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1447196852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SL UNLIMITED LLC

Provider Business Mailing Address
First Line	:	12341 VAN GOGH PL
Second Line	:
City	:	YUCAIPA
State	:	CA
Zip	:	92399-1893
Country	:	US
Telephone Number	:	909-910-1054
Fax Number	:

Provider Business Practice Location Address
First Line	:	5494 N I ST
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-5336
Country	:	US
Telephone Number	:	909-910-1054
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. SEMIRA YUKSEL MUSTAFA
Credential	:	BSN, RN, PHN
Telephone Number	:	909-910-1054

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/29/2026

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