Provider Demographics
NPI:1891004008
Name:UNLIMITED HOME HEALTH SERVICES CORP
Entity Type:Organization
Organization Name:UNLIMITED HOME HEALTH SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:E
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-425-2631
Mailing Address - Street 1:7370 COLLEGE PKWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-5558
Mailing Address - Country:US
Mailing Address - Phone:239-425-2631
Mailing Address - Fax:239-425-2633
Practice Address - Street 1:7370 COLLEGE PKWY
Practice Address - Street 2:205
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-5558
Practice Address - Country:US
Practice Address - Phone:239-425-2631
Practice Address - Fax:239-425-2633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003759100Medicaid