Provider Demographics
NPI:1558023606
Name:UNLIMITED HOMEHEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:UNLIMITED HOMEHEALTH SERVICES, LLC
Other - Org Name:HOME CARE FOR THE 21ST CENTURY HR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:COWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-399-0418
Mailing Address - Street 1:3615 VICTORY BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-3419
Mailing Address - Country:US
Mailing Address - Phone:757-399-0418
Mailing Address - Fax:
Practice Address - Street 1:3615 VICTORY BLVD STE 105
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-3419
Practice Address - Country:US
Practice Address - Phone:757-399-0418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAHCO-233134Medicaid