Provider Demographics
NPI:1093337214
Name:ASSURING SUPPORT SERVICES
Entity Type:Organization
Organization Name:ASSURING SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMPHERIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-449-9222
Mailing Address - Street 1:50 SHIRE CT
Mailing Address - Street 2:
Mailing Address - City:SOMERDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08083-1255
Mailing Address - Country:US
Mailing Address - Phone:856-449-9222
Mailing Address - Fax:
Practice Address - Street 1:50 SHIRE CT
Practice Address - Street 2:
Practice Address - City:SOMERDALE
Practice Address - State:NJ
Practice Address - Zip Code:08083-1255
Practice Address - Country:US
Practice Address - Phone:856-449-9222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251X00000XAgenciesSupports Brokerage