MEDICARE: A UNLIMITED RESOURCE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	253Z00000X	In Home Supportive Care Agency
2	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care	TX
3	385HR2065X	Child Physical Disabilities Respite Care
4	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1538405170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A UNLIMITED RESOURCE

Provider Business Mailing Address
First Line	:	2257 LAKE COVES DR
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-5452
Country	:	US
Telephone Number	:	972-330-4644
Fax Number	:	972-330-4645

Provider Business Practice Location Address
First Line	:	2257 LAKE COVES DR
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-5452
Country	:	US
Telephone Number	:	972-330-4644
Fax Number	:	972-330-4645

Authorized Official
Title or Position	:	OWNER
Name	:	CHARLOTTE D REED
Credential	:	VRC
Telephone Number	:	972-330-4644

Provider Enumeration Date	:	01/01/2013
Last Update Date	:	01/01/2013

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