Provider Demographics
NPI:1902044258
Name:ASSURANCE HOME CARE, INC.
Entity Type:Organization
Organization Name:ASSURANCE HOME CARE, INC.
Other - Org Name:ARISTA HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:I
Authorized Official - Last Name:SIPE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:520-333-0333
Mailing Address - Street 1:1636 N SWAN RD STE 250
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-4067
Mailing Address - Country:US
Mailing Address - Phone:520-333-0333
Mailing Address - Fax:520-325-9938
Practice Address - Street 1:1636 N SWAN RD STE 250
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-4067
Practice Address - Country:US
Practice Address - Phone:520-333-0333
Practice Address - Fax:520-325-9938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-24
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA4602251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZHHA8430OtherSTATE LICENSE
AZ664775Medicaid
AZHHA8430OtherSTATE LICENSE
AZ037299Medicare PIN