Basic Information
| Provider Information | |||||||||
| NPI: | 1679011837 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ASSURE CARE HOME HEALTH, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19 BEHLMANN ESTATES CT | ||||||||
| Address2: | |||||||||
| City: | FLORISSANT | ||||||||
| State: | MO | ||||||||
| PostalCode: | 630342852 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3143152781 | ||||||||
| FaxNumber: | 3145340909 | ||||||||
| Practice Location | |||||||||
| Address1: | 19 BEHLMANN ESTATES CT | ||||||||
| Address2: | |||||||||
| City: | FLORISSANT | ||||||||
| State: | MO | ||||||||
| PostalCode: | 630342852 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3143152781 | ||||||||
| FaxNumber: | 3145340661 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2017 | ||||||||
| LastUpdateDate: | 02/08/2017 | ||||||||
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| AuthorizedOfficialLastName: | MARSH | ||||||||
| AuthorizedOfficialFirstName: | TIFFANY | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER/DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3143152781 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | RN | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 253Z00000X | Y | Agencies | In Home Supportive Care |
No ID Information.