1407096852 NPI number — ASSURANCE IN-HOME HEALTHCARE, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407096852 NPI number — ASSURANCE IN-HOME HEALTHCARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASSURANCE IN-HOME HEALTHCARE, 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:
1407096852
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/25/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23659 COLUMBUS ROAD
Provider Second Line Business Mailing Address:
ASSURANCE IN-HOME HEALTHCARE, LLC
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08022
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-298-1700
Provider Business Mailing Address Fax Number:
609-298-1775

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23659 COLUMBUS ROAD
Provider Second Line Business Practice Location Address:
ASSURANCE IN-HOME HEALTHCARE, LLC
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-298-1700
Provider Business Practice Location Address Fax Number:
609-298-1775
Provider Enumeration Date:
02/25/2009

Additional Information

Authorized Official

Authorized Official Last Name:
MOORE
Authorized Official First Name:
LORRAINE
Authorized Official Middle Name:
ELLEN
Authorized Official Title or Position:
OWNER/EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
609-298-1700

Provider Taxonomy Codes

  • Taxonomy code: 372500000X , with the licence number:  HP0121700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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