Provider Demographics
NPI:1437328317
Name:ASSURED HEALTH CARE PROVIDERS, L.L.C.
Entity Type:Organization
Organization Name:ASSURED HEALTH CARE PROVIDERS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-507-2253
Mailing Address - Street 1:906 C M FAGAN DR
Mailing Address - Street 2:STE A-4
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-6056
Mailing Address - Country:US
Mailing Address - Phone:985-340-3855
Mailing Address - Fax:985-340-3856
Practice Address - Street 1:906 C M FAGAN DR
Practice Address - Street 2:STE A-4
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-6056
Practice Address - Country:US
Practice Address - Phone:985-340-3855
Practice Address - Fax:985-340-3856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health