Organization Active NPI

Unlimted Opportunities, LLC

  • Developmentally Disabled Services Day Training Agency
  • Winston Salem, NC
National Provider Identifier
1710007224
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
UNLIMTED OPPORTUNITIES, LLC
Practice address
1328 Ashley SQ
Winston Salem, NC 27103-2919
Phone
(336) 760-8800
Fax
(336) 765-0100
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1328 Ashley SQ
Winston Salem, NC 27103-2919

Mailing address

1328 Ashley SQ
Winston Salem, NC 27103-2919
Phone (336) 760-8800

Other identifiers 1

IdentifierTypeStateIssuer
3408677MedicaidNC

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.

Locations

1328 Ashley Sq
Winston Salem, NC 27103
Phone (336) 760-8800

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": "1598054400000",
    "number": "1710007224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 ASHLEY SQ",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032919",
            "telephone_number": "336-760-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 ASHLEY SQ",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032919",
            "telephone_number": "336-760-8800",
            "fax_number": "336-765-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNLIMTED OPPORTUNITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "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": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408677",
            "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 Aug 22, 2020; 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.