Healthcare Provider Details

I. General information

NPI: 1508703067
Provider Name (Legal Business Name): UNITEDCARE HEALTH MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8033 GALLA KNOLL CIR
SPRINGFIELD VA
22153-2449
US

IV. Provider business mailing address

8033 GALLA KNOLL CIR
SPRINGFIELD VA
22153-2449
US

V. Phone/Fax

Practice location:
  • Phone: 803-258-7464
  • Fax:
Mailing address:
  • Phone: 803-258-7464
  • Fax: 803-258-7464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. AFRA AKMAL
Title or Position: CEO
Credential:
Phone: 803-258-7464