Provider Demographics
NPI:1851353569
Name:ASSURE HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:ASSURE HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ILDEBRANDO
Authorized Official - Middle Name:R
Authorized Official - Last Name:MAHINAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-297-4444
Mailing Address - Street 1:28140 N BRADLEY RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-9621
Mailing Address - Country:US
Mailing Address - Phone:847-297-4444
Mailing Address - Fax:847-297-4447
Practice Address - Street 1:28140 N BRADLEY RD
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-9621
Practice Address - Country:US
Practice Address - Phone:847-297-4444
Practice Address - Fax:847-297-4447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010323251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL147794Medicare Oscar/Certification