Provider Demographics
NPI:1881229920
Name:ASSURED HOME HEALTH, INC
Entity Type:Organization
Organization Name:ASSURED HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VP
Authorized Official - Prefix:
Authorized Official - First Name:BERTHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-609-7239
Mailing Address - Street 1:4471 NW 36TH STREET
Mailing Address - Street 2:SUITE 232
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7287
Mailing Address - Country:US
Mailing Address - Phone:786-663-2112
Mailing Address - Fax:786-391-3913
Practice Address - Street 1:4471 NW 36TH STREET
Practice Address - Street 2:SUITE 232
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-7287
Practice Address - Country:US
Practice Address - Phone:786-391-3913
Practice Address - Fax:786-409-7239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-09
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114591700Medicaid