Provider Demographics
NPI:1306714472
Name:UNLIMITED SUPPORT CENTER LLC
Entity type:Organization
Organization Name:UNLIMITED SUPPORT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KALENGA
Authorized Official - Middle Name:YVES
Authorized Official - Last Name:SHABANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-259-2141
Mailing Address - Street 1:3172 WELLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-2865
Mailing Address - Country:US
Mailing Address - Phone:319-259-2141
Mailing Address - Fax:
Practice Address - Street 1:3172 WELLINGTON DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-2865
Practice Address - Country:US
Practice Address - Phone:319-259-2141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness