MEDICARE: UNLIMITED HOME HEALTH CENTER, 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	251E00000X	Home Health Agency	1000559	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578973590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNLIMITED HOME HEALTH CENTER, INC.

Provider Business Mailing Address
First Line	:	1862 W BITTERS RD
Second Line	:	SUITE 301
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-1809
Country	:	US
Telephone Number	:	210-832-8300
Fax Number	:	210-520-1440

Provider Business Practice Location Address
First Line	:	1862 W BITTERS RD
Second Line	:	SUITE 301
City	:	SAN ANTONIO
State	:	TX
Zip	:	78248-1809
Country	:	US
Telephone Number	:	210-832-8300
Fax Number	:	210-520-1440

Authorized Official
Title or Position	:	CEO
Name	:	MR. BROCK RUSH
Credential	:
Telephone Number	:	210-832-8300

Provider Enumeration Date	:	04/29/2014
Last Update Date	:	04/29/2014

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