Provider Demographics
NPI:1558945220
Name:ASSURANCE HEALTH & RECOVERY, LLC
Entity Type:Organization
Organization Name:ASSURANCE HEALTH & RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MBA, MHA
Authorized Official - Phone:304-615-9925
Mailing Address - Street 1:50 YUMA RD
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:WV
Mailing Address - Zip Code:25601-7111
Mailing Address - Country:US
Mailing Address - Phone:304-688-9860
Mailing Address - Fax:304-688-9862
Practice Address - Street 1:50 YUMA RD
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:WV
Practice Address - Zip Code:25601-7111
Practice Address - Country:US
Practice Address - Phone:304-688-9860
Practice Address - Fax:304-688-9862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-10
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty