MEDICARE: HEALTH SUPPLY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1043018385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH SUPPLY LLC

Provider Business Mailing Address
First Line	:	7349 DEERBERG DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46259
Country	:	US
Telephone Number	:	443-750-1814
Fax Number	:

Provider Business Practice Location Address
First Line	:	7349 DEERBERG DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46259
Country	:	US
Telephone Number	:	443-750-1814
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	USAMA BIN MUJEEB
Credential	:
Telephone Number	:	281-473-4188

Provider Enumeration Date	:	03/04/2025
Last Update Date	:	06/04/2026

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