Provider Demographics
NPI:1033429790
Name:ICK -ASSURANCE HOME HEALTH CARE. INC.
Entity Type:Organization
Organization Name:ICK -ASSURANCE HOME HEALTH CARE. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRUKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:617-378-1795
Mailing Address - Street 1:960 SOUTH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-7037
Mailing Address - Country:US
Mailing Address - Phone:978-342-0081
Mailing Address - Fax:800-560-3471
Practice Address - Street 1:960 SOUTH ST FL 2
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-7037
Practice Address - Country:US
Practice Address - Phone:978-342-0081
Practice Address - Fax:800-560-3471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2266737251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care