Provider Demographics
NPI:1306843974
Name:UNLIMITED FAITH, INC.
Entity Type:Organization
Organization Name:UNLIMITED FAITH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:G
Authorized Official - Last Name:CAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-451-8704
Mailing Address - Street 1:4515 VILLAGE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76119-4158
Mailing Address - Country:US
Mailing Address - Phone:817-451-8704
Mailing Address - Fax:817-451-0048
Practice Address - Street 1:4515 VILLAGE CREEK RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76119-4158
Practice Address - Country:US
Practice Address - Phone:817-451-8704
Practice Address - Fax:817-451-0048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-28
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114174314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH431SOtherBCBS
TX001012976Medicaid
TX179974401Medicaid
TX676052Medicare ID - Type Unspecified