Provider Demographics
NPI:1578973590
Name:UNLIMITED HOME HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:UNLIMITED HOME HEALTH CENTER, INC.
Other - Org Name:AMERICAN MEDICAL DIRECT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BROCK
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-832-8300
Mailing Address - Street 1:1862 W BITTERS RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-1809
Mailing Address - Country:US
Mailing Address - Phone:210-832-8300
Mailing Address - Fax:210-520-1440
Practice Address - Street 1:1862 W BITTERS RD
Practice Address - Street 2:SUITE 301
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-1809
Practice Address - Country:US
Practice Address - Phone:210-832-8300
Practice Address - Fax:210-520-1440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1000559251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2188492-02Medicaid
TX2188492-01Medicaid
4188990001Medicare NSC