Organization Active NPI

United Homecare Support Inc

  • In Home Supportive Care Agency
  • Owings Mills, MD
National Provider Identifier
1871132662
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
UNITED HOMECARE SUPPORT INC
Doing business as
united homecare support inc
Practice address
45 Tahoe Cir Apt B
Owings Mills, MD 21117-3751
Phone
(443) 635-1657
NPI assigned
Dec 27, 2019
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Busayo Dickson AjayiNPI 1730871476
Title
Ceo
Phone
(443) 635-1657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

45 Tahoe Cir Apt B
Owings Mills, MD 21117-3751

Mailing address

230 N Maple Ave Ste B-1 Suite 314
Marlton, NJ 08053-9412
Phone (443) 635-1657

Other practice location 1

230 N Maple Ave Ste B1 Suite 314
Marlton, NJ 08053-9412
Phone (443) 635-1657

Other identifiers 1

IdentifierTypeStateIssuer
MD45674MedicaidMD

Other names 1

  • united homecare support inc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL unitedhomecae77@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1871132662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MAPLE AVE STE B-1 SUITE 314",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539412",
            "telephone_number": "443-635-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 TAHOE CIR APT B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173751",
            "telephone_number": "443-635-1657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 N Maple Ave Ste B1 Suite 314",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080539412",
            "country_code": "US",
            "telephone_number": "443-635-1657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED HOMECARE SUPPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "BUSAYO",
        "authorized_official_middle_name": "DICKSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-635-1657"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD45674",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "unitedhomecae77@gmail.com",
            "affiliation": "N",
            "endpointDescription": "unitedhomecare77@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "45 Tahoe Cir Apt B",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211173751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "united homecare support inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "united homecare support inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.