Provider Demographics
NPI:1720106818
Name:HEALTH SERVICES UNLIMITED
Entity Type:Organization
Organization Name:HEALTH SERVICES UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:DORRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HONEYCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:704-878-6005
Mailing Address - Street 1:127 N GREEN ST
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-5338
Mailing Address - Country:US
Mailing Address - Phone:704-878-6005
Mailing Address - Fax:704-878-9068
Practice Address - Street 1:127 N GREEN ST
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-5338
Practice Address - Country:US
Practice Address - Phone:704-878-6005
Practice Address - Fax:704-878-9068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1043251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600225Medicaid