Provider Demographics
NPI:1437876232
Name:ASSURANCE CARE LLC
Entity Type:Organization
Organization Name:ASSURANCE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREDIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEUDONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMUAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:443-657-3173
Mailing Address - Street 1:102 MARTHA LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-7415
Mailing Address - Country:US
Mailing Address - Phone:513-690-8483
Mailing Address - Fax:
Practice Address - Street 1:102 MARTHA LN
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-7415
Practice Address - Country:US
Practice Address - Phone:513-690-8483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services