Provider Demographics
NPI:1235113564
Name:NURSES UNLIMITED INC
Entity Type:Organization
Organization Name:NURSES UNLIMITED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:GRISSOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-580-2000
Mailing Address - Street 1:PO BOX 4534
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79760-4534
Mailing Address - Country:US
Mailing Address - Phone:432-580-2085
Mailing Address - Fax:432-580-2080
Practice Address - Street 1:4242 WOODCOCK DR
Practice Address - Street 2:SUITE 220
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228
Practice Address - Country:US
Practice Address - Phone:210-732-4184
Practice Address - Fax:210-732-4281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2019-02-28
Deactivation Date:2007-02-13
Deactivation Code:
Reactivation Date:2007-07-31
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 251J00000X, 3747P1801X
TX003467251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001001204OtherTDADS PHC
TX001012988OtherTDADS MDCP
TX000963100OtherTDADS
TX000089700OtherTDADS
TX001001205OtherTDADS CBA
TX001002110OtherTDADS