Provider Demographics
NPI:1497739726
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:RN
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 1:3002 50TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413
Practice Address - Country:US
Practice Address - Phone:806-792-9197
Practice Address - Fax:806-793-7527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2018-12-12
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 HealthGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty
No251J00000XAgenciesNursing Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000635300OtherCBA TDADS
TX001002062OtherMDCP TDADS
TX000011600OtherPHC TDADS