MEDICARE: UNIVERSAL RESPIRATORY CARE, 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	332BX2000X	Oxygen Equipment & Supplies (DME)	R2161	MD

General Provider Information

NPI Number	:	1346280732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL RESPIRATORY CARE, LLC

Provider Business Mailing Address
First Line	:	1840 YORK RD
Second Line	:	SUITE C
City	:	TIMONIUM
State	:	MD
Zip	:	21093-5121
Country	:	US
Telephone Number	:	410-308-2579
Fax Number	:	410-628-7932

Provider Business Practice Location Address
First Line	:	1840 YORK RD
Second Line	:	SUITE C
City	:	TIMONIUM
State	:	MD
Zip	:	21093-5121
Country	:	US
Telephone Number	:	410-308-2579
Fax Number	:	410-628-7932

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVEN T BAKER
Credential	:
Telephone Number	:	410-308-2579

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	08/22/2020

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