Provider Demographics
NPI:1609388479
Name:ASSURED QUALITY HOMECARE, LLC
Entity Type:Organization
Organization Name:ASSURED QUALITY HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CARE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESCOMBES
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:860-373-0428
Mailing Address - Street 1:PO BOX 809
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-0809
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:282 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-4591
Practice Address - Country:US
Practice Address - Phone:860-373-0428
Practice Address - Fax:860-909-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0001088376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty