Provider Demographics
NPI:1679011837
Name:ASSURE CARE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:ASSURE CARE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-315-2781
Mailing Address - Street 1:19 BEHLMANN ESTATES CT
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-2852
Mailing Address - Country:US
Mailing Address - Phone:314-315-2781
Mailing Address - Fax:314-534-0909
Practice Address - Street 1:19 BEHLMANN ESTATES CT
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-2852
Practice Address - Country:US
Practice Address - Phone:314-315-2781
Practice Address - Fax:314-534-0661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care