Provider Demographics
NPI:1396380531
Name:ASSURED CORPORATION
Entity Type:Organization
Organization Name:ASSURED CORPORATION
Other - Org Name:ASSURED HEALTH HOME CARE, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADJOA
Authorized Official - Middle Name:T
Authorized Official - Last Name:AGYEI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-221-4854
Mailing Address - Street 1:13198 CENTERPOINTE WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5285
Mailing Address - Country:US
Mailing Address - Phone:703-221-4854
Mailing Address - Fax:703-221-4902
Practice Address - Street 1:13198 CENTERPOINTE WAY STE 101
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-5285
Practice Address - Country:US
Practice Address - Phone:703-221-4854
Practice Address - Fax:703-221-4902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health