Healthcare Provider Details

I. General information

NPI: 1841071313
Provider Name (Legal Business Name): UNITED HOME ACCESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 FORBES BLVD STE H
LANHAM MD
20706-4425
US

IV. Provider business mailing address

5001 FORBES BLVD STE H
LANHAM MD
20706-4425
US

V. Phone/Fax

Practice location:
  • Phone: 301-655-1081
  • Fax:
Mailing address:
  • Phone: 301-655-1081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MR. ORLANDO LANDAVERDE
Title or Position: CEO
Credential: ATP
Phone: 301-655-1081