MEDICARE: UNITY SUPPORT HOMES 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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1427985126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY SUPPORT HOMES LLC

Provider Business Mailing Address
First Line	:	208 MARVELINE DR
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33815-3447
Country	:	US
Telephone Number	:	813-410-8946
Fax Number	:

Provider Business Practice Location Address
First Line	:	208 MARVELINE DR
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33815-3447
Country	:	US
Telephone Number	:	813-410-8946
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MOHAMED DEMBELE
Credential	:
Telephone Number	:	813-410-8946

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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