Provider Demographics
NPI:1326644865
Name:ASSURED HOME CARE, INC.
Entity Type:Organization
Organization Name:ASSURED HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANIS
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:559-802-7750
Mailing Address - Street 1:1881 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:KINGSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:93631-1438
Mailing Address - Country:US
Mailing Address - Phone:559-802-7750
Mailing Address - Fax:
Practice Address - Street 1:1448 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:KINGSBURG
Practice Address - State:CA
Practice Address - Zip Code:93631-1931
Practice Address - Country:US
Practice Address - Phone:559-802-7750
Practice Address - Fax:559-897-5313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care