Active NPI
Unlimited Opportunities, LLC
- Community/Behavioral Health Agency
- Winston Salem, NC
National Provider Identifier
1023138740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- UNLIMITED OPPORTUNITIES, LLC
- Practice address
- 4401 North Cherry Street
Ste 60
Winston Salem, NC 27105-2500 - Phone
- (336) 760-8800
- Fax
- (336) 765-0100
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole L Drake
- Title
- Executive Director
- Phone
- (336) 760-8800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6006689 | NC | |
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4401 North Cherry Street
Ste 60
Winston Salem, NC 27105-2500
Mailing address
4401 North Cherry Street
Ste 60
Winston Salem, NC 27105-2500
Phone (336) 760-8800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301372 | Medicaid | NC | |
| 8301372B | Medicaid | NC | |
| 6006689 | Medicaid | NC | |
| 8301372H | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Unlimited Opportunities LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1780992933
-
- Developmentally Disabled Services Day Training Agency
- Winston Salem, NC
- NPI 1710007224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274054400000",
"number": "1023138740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 NORTH CHERRY STREET",
"address_2": "STE 60",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271052500",
"telephone_number": "336-760-8800",
"fax_number": "336-765-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 NORTH CHERRY STREET",
"address_2": "STE 60",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271052500",
"telephone_number": "336-760-8800",
"fax_number": "336-765-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNLIMITED OPPORTUNITIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2010-05-17",
"status": "A",
"authorized_official_last_name": "DRAKE",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "336-760-8800"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "6006689",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301372",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301372B",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6006689",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301372H",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
- Universal Mental Health Services, Inc.
- Universal Services (Reynolds Home Care)
- Universal Services (Reynolds Home Care)
- Universal Services Dba Reynolds Home Care
- Unlimited Opportunities Center for Change
- Unlimited Opportunities, LLC
- Unlimted Opportunities, LLC
- Bradley Thomas Unruh, MD
- Bharathi Upadhya, M.D.
- Ralph Denton Updyke Jr., PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.