Provider Demographics
NPI:1114135571
Name:UNLIMITED CARE REGISTRY, LLC
Entity Type:Organization
Organization Name:UNLIMITED CARE REGISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GAMALIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUBRICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-924-1679
Mailing Address - Street 1:17103 TACK LN
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-3385
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17103 TACK LN
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-3385
Practice Address - Country:US
Practice Address - Phone:951-924-1679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty
Not Answered251J00000XAgenciesNursing Care
Not Answered372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty
Not Answered3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Not Answered374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Not Answered376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty