1588353767 NPI number — UNIVERSAL SUPPORT AGENCY LLC

Table of content: (NPI 1588353767)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588353767 NPI number — UNIVERSAL SUPPORT AGENCY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSAL SUPPORT AGENCY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588353767
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/03/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1402 N CAPITOL ST NW STE 6
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20002-3342
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-258-3344
Provider Business Mailing Address Fax Number:
571-475-9528

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1402 N CAPITOL ST NW STE 6
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20002-3342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-258-3344
Provider Business Practice Location Address Fax Number:
571-475-9528
Provider Enumeration Date:
05/03/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LEYOU
Authorized Official First Name:
ROGER
Authorized Official Middle Name:
E
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
202-258-3344

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QD1600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)