Provider Demographics
NPI:1376865089
Name:UNLIMITED CARE PROVIDERS
Entity Type:Organization
Organization Name:UNLIMITED CARE PROVIDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CBIS
Authorized Official - Phone:800-270-2393
Mailing Address - Street 1:119 JARI DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-6953
Mailing Address - Country:US
Mailing Address - Phone:800-270-2393
Mailing Address - Fax:814-262-6091
Practice Address - Street 1:119 JARI DRIVE
Practice Address - Street 2:SUITE 4
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-6953
Practice Address - Country:US
Practice Address - Phone:800-270-2393
Practice Address - Fax:814-262-6091
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHOICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management