Provider Demographics
NPI:1558804617
Name:TOTAL ASSURANCE HOME HEALTHCARE
Entity Type:Organization
Organization Name:TOTAL ASSURANCE HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDILE
Authorized Official - Middle Name:
Authorized Official - Last Name:MABASO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-300-7550
Mailing Address - Street 1:6 OAK BRANCH DR
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-2061
Mailing Address - Country:US
Mailing Address - Phone:203-300-7550
Mailing Address - Fax:
Practice Address - Street 1:6 OAK BRANCH DR
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804
Practice Address - Country:US
Practice Address - Phone:203-300-7550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-22
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0000618385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care