Provider Demographics
NPI:1639621303
Name:ASSURANCE HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:ASSURANCE HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MASSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-529-7152
Mailing Address - Street 1:PO BOX 667
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-0667
Mailing Address - Country:US
Mailing Address - Phone:610-529-7152
Mailing Address - Fax:215-379-3842
Practice Address - Street 1:261 OLD YORK RD
Practice Address - Street 2:SUITE 706
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3706
Practice Address - Country:US
Practice Address - Phone:610-529-7152
Practice Address - Fax:215-379-3842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA22683601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care