Provider Demographics
NPI:1639861594
Name:ASSURED INDEPENDENCE
Entity Type:Organization
Organization Name:ASSURED INDEPENDENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:CHANDLER
Authorized Official - Last Name:CROUCH
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:513-203-6863
Mailing Address - Street 1:340 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45015-1412
Mailing Address - Country:US
Mailing Address - Phone:513-203-6863
Mailing Address - Fax:
Practice Address - Street 1:340 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45015-1412
Practice Address - Country:US
Practice Address - Phone:513-203-6863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care