Provider Demographics
NPI:1033988001
Name:ASSISETEDLY HOME HEALTHCARE
Entity Type:Organization
Organization Name:ASSISETEDLY HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOSIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-469-0135
Mailing Address - Street 1:9032 MEMORIAL PKWY SW STE A
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-3013
Mailing Address - Country:US
Mailing Address - Phone:256-469-0135
Mailing Address - Fax:
Practice Address - Street 1:220 MADISON PARK DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2056
Practice Address - Country:US
Practice Address - Phone:256-469-0135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No376J00000XNursing Service Related ProvidersHomemaker
No385H00000XRespite Care FacilityRespite Care