Provider Demographics
NPI:1205413937
Name:ASSURED HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ASSURED HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA ARLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDAP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-973-9771
Mailing Address - Street 1:2717 COTTAGE WAY STE 5
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-1233
Mailing Address - Country:US
Mailing Address - Phone:916-973-9771
Mailing Address - Fax:844-850-2912
Practice Address - Street 1:2717 COTTAGE WAY STE 5
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-1233
Practice Address - Country:US
Practice Address - Phone:916-973-9771
Practice Address - Fax:844-850-2912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-27
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health