Provider Demographics
NPI:1205984978
Name:UNLIMITED CARE AGENCY
Entity type:Organization
Organization Name:UNLIMITED CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:TH D, MS
Authorized Official - Phone:910-221-4654
Mailing Address - Street 1:4459B CUMBERLAND RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-2453
Mailing Address - Country:US
Mailing Address - Phone:910-221-4654
Mailing Address - Fax:910-221-4654
Practice Address - Street 1:4459B CUMBERLAND RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-2453
Practice Address - Country:US
Practice Address - Phone:910-221-4654
Practice Address - Fax:910-221-4654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3536251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601605Medicaid