Provider Demographics
NPI:1639702285
Name:ASSENT HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:ASSENT HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EVELYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KINGORI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:202-247-8897
Mailing Address - Street 1:3111 WALNUT ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-4017
Mailing Address - Country:US
Mailing Address - Phone:202-247-8897
Mailing Address - Fax:
Practice Address - Street 1:14446 LAYHILL RD
Practice Address - Street 2:
Practice Address - City:ASPEN HILL
Practice Address - State:MD
Practice Address - Zip Code:20906-1911
Practice Address - Country:US
Practice Address - Phone:202-247-8897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-21
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty