Provider Demographics
NPI:1407096852
Name:ASSURANCE IN-HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ASSURANCE IN-HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:609-298-1700
Mailing Address - Street 1:23659 COLUMBUS ROAD
Mailing Address - Street 2:ASSURANCE IN-HOME HEALTHCARE, LLC
Mailing Address - City:COLUMBUS
Mailing Address - State:NJ
Mailing Address - Zip Code:08022
Mailing Address - Country:US
Mailing Address - Phone:609-298-1700
Mailing Address - Fax:609-298-1775
Practice Address - Street 1:23659 COLUMBUS ROAD
Practice Address - Street 2:ASSURANCE IN-HOME HEALTHCARE, LLC
Practice Address - City:COLUMBUS
Practice Address - State:NJ
Practice Address - Zip Code:08022
Practice Address - Country:US
Practice Address - Phone:609-298-1700
Practice Address - Fax:609-298-1775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0121700372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty