Basic Information
| Provider Information | |||||||||
| NPI: | 1629491725 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | UNLIMITED CARE INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4 JEFFERSON PLZ | ||||||||
| Address2: | |||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 126014035 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454735900 | ||||||||
| FaxNumber: | 8454736692 | ||||||||
| Practice Location | |||||||||
| Address1: | 4 JEFFERSON PLZ | ||||||||
| Address2: | |||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 126014035 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8454735900 | ||||||||
| FaxNumber: | 8454736692 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2014 | ||||||||
| LastUpdateDate: | 01/24/2014 | ||||||||
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| AuthorizedOfficialLastName: | DUFFY | ||||||||
| AuthorizedOfficialFirstName: | THERESA | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | PSA | ||||||||
| AuthorizedOfficialTelephone: | 8454735900 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 3165031 | NY | N | Nursing & Custodial Care Facilities | Skilled Nursing Facility | 314000000X | 315960 | NY | N | Nursing & Custodial Care Facilities | Skilled Nursing Facility | 314000000X | 270265 | NY | N | Nursing & Custodial Care Facilities | Skilled Nursing Facility | 314000000X | 316236 | NY | N | Nursing & Custodial Care Facilities | Skilled Nursing Facility | 314000000X | 833530-8NY | NY | N | Nursing & Custodial Care Facilities | Skilled Nursing Facility | 314000000X | 316238-1 | NY | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.