Provider Demographics
NPI:1134589880
Name:UNLIMITED CHOICES LLC
Entity type:Organization
Organization Name:UNLIMITED CHOICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:PERSHING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-351-1325
Mailing Address - Street 1:1320 FREEPORT BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-5941
Mailing Address - Country:US
Mailing Address - Phone:775-351-1325
Mailing Address - Fax:
Practice Address - Street 1:1320 FREEPORT BLVD STE 110
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-5941
Practice Address - Country:US
Practice Address - Phone:775-351-1325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9005033673OtherGROUP PROVIDER SIERRA REGIONAL CENTER