Organization Active NPI

Unlimited Opportunities, LLC

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1023138740
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on May 17, 2010

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8301372MedicaidNC
8301372BMedicaidNC
6006689MedicaidNC
8301372HMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Unlimited Opportunities LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.