Provider Demographics
NPI:1144619495
Name:ASSURED LOVING CARE
Entity Type:Organization
Organization Name:ASSURED LOVING CARE
Other - Org Name:ASSURED LOVING CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY DIRECTOR & FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:COPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-381-7406
Mailing Address - Street 1:108 CECIL ST
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31792-5605
Mailing Address - Country:US
Mailing Address - Phone:229-236-0159
Mailing Address - Fax:
Practice Address - Street 1:108 CECIL ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-5605
Practice Address - Country:US
Practice Address - Phone:229-236-0159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care