Provider Demographics
NPI:1487682191
Name:ASSURED QUALITY HOME CARE INC
Entity Type:Organization
Organization Name:ASSURED QUALITY HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:GAVIN
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-368-9093
Mailing Address - Street 1:PO BOX 211915
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91921-1915
Mailing Address - Country:US
Mailing Address - Phone:541-880-5594
Mailing Address - Fax:619-482-3195
Practice Address - Street 1:2045 ARTHUR ST
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-4675
Practice Address - Country:US
Practice Address - Phone:541-880-5594
Practice Address - Fax:619-482-3195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR152077 AND 152080251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health