MEDICARE: UNITED SUPPORT HEALTHCARE, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1841158557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED SUPPORT HEALTHCARE, LLC.

Provider Business Mailing Address
First Line	:	935 PARK HILL RD
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-3433
Country	:	US
Telephone Number	:	301-265-6625
Fax Number	:

Provider Business Practice Location Address
First Line	:	935 PARK HILL RD
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-3433
Country	:	US
Telephone Number	:	301-265-6625
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NWACHUKWU J OGWO
Credential	:
Telephone Number	:	301-265-6625

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	05/25/2026

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