Unlimited Healthcare Provider, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

UNLIMITED HEALTHCARE PROVIDER, LLC

Practice address

1016 E Ledbetter Dr
Dallas, TX 75216-6862

Phone

(214) 375-8883

Fax

(214) 375-8884

NPI assigned

Dec 28, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kim Rayetta Lamotthe, OTR/L-MHANPI 1548367022

Title

President

Phone

(214) 538-7476

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747519

Legal name

UNLIMITED HEALTHCARE PROVIDER, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 14, 2011

Last certification

Nov 15, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 30, 2009 in TX

Enrollment address

1801 N Hampton Rd
Ste 416
Desoto, TX 75115-2420

Listed as

Unlimited Healthcare Provider LLCCCN 747519

Ownership

Proprietary

Certified

Feb 14, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Rayetta Lamotthe, OTR/L

  • Specialist
  • Dallas, TX
  • NPI 1548367022
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1659601540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E LEDBETTER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752166862",
            "telephone_number": "214-375-8883",
            "fax_number": "214-375-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E LEDBETTER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752166862",
            "telephone_number": "214-375-8883",
            "fax_number": "214-375-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMITED HEALTHCARE PROVIDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "LAMOTTHE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "RAYETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-538-7476",
        "authorized_official_credential": "OTR/L-MHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "747519",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Texas Southwestern Medical Center at Dallas
• University of Texas Southwestern Medical Center at Dallas
• University Park Counseling & Testing Center, PLLC
• University Park Imaging
• Unlimited Healthcare Network, LLC
• Unlocking Fortitude PLLC
• Nisha Unni, M.D.
• Jennifer Beth Unterberg, PH.D.
• Mark Paul Unterberg, M.D.
• Karyn Peters Unterbug, CCC/SLP

• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.