Provider Demographics
NPI:1679183438
Name:ASSURED HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:ASSURED HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DOHBAH
Authorized Official - Last Name:DOHBIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-309-6961
Mailing Address - Street 1:5902 SOUTHWYCK BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1555
Mailing Address - Country:US
Mailing Address - Phone:419-309-6961
Mailing Address - Fax:
Practice Address - Street 1:5902 SOUTHWYCK BLVD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1555
Practice Address - Country:US
Practice Address - Phone:419-309-6961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care