Provider Demographics
NPI:1932640588
Name:HEALTH SERVICES UNLIMITED LLC
Entity Type:Organization
Organization Name:HEALTH SERVICES UNLIMITED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:MIRNA
Authorized Official - Last Name:LEXIMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, PHD
Authorized Official - Phone:571-332-8353
Mailing Address - Street 1:7005 BEN FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-3015
Mailing Address - Country:US
Mailing Address - Phone:571-406-8060
Mailing Address - Fax:
Practice Address - Street 1:7005 BEN FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-3015
Practice Address - Country:US
Practice Address - Phone:571-406-8060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001152672251300000X, 251J00000X, 302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
No251300000XAgenciesLocal Education Agency (LEA)
No251J00000XAgenciesNursing Care