Provider Demographics
NPI:1689980757
Name:ASSURANCE HOME HEALTHCARE
Entity Type:Organization
Organization Name:ASSURANCE HOME HEALTHCARE
Other - Org Name:ALLCARE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-295-4180
Mailing Address - Street 1:58 HARRELL ST
Mailing Address - Street 2:
Mailing Address - City:TRION
Mailing Address - State:GA
Mailing Address - Zip Code:30753-1480
Mailing Address - Country:US
Mailing Address - Phone:706-734-2085
Mailing Address - Fax:
Practice Address - Street 1:510 W 12TH ST NE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-2617
Practice Address - Country:US
Practice Address - Phone:706-295-4180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6222960002Medicare NSC