Healthcare Provider Details

I. General information

NPI: 1841158557
Provider Name (Legal Business Name): UNITED SUPPORT HEALTCARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 PARK HILL RD
LAUREL MD
20707-3433
US

IV. Provider business mailing address

935 PARK HILL RD
LAUREL MD
20707-3433
US

V. Phone/Fax

Practice location:
  • Phone: 301-265-6625
  • Fax:
Mailing address:
  • Phone: 301-265-6625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NWACHUKWU J OGWO
Title or Position: CEO
Credential:
Phone: 301-265-6625