Provider Demographics
NPI:1972857621
Name:ASSURED INDEPENDENCE CONSULTANTS LLC
Entity Type:Organization
Organization Name:ASSURED INDEPENDENCE CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIMIRI
Authorized Official - Middle Name:C
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:281-406-0883
Mailing Address - Street 1:10410 BELVAMERA RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2730
Mailing Address - Country:US
Mailing Address - Phone:281-406-0883
Mailing Address - Fax:480-287-8372
Practice Address - Street 1:10410 BELVAMERA RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2730
Practice Address - Country:US
Practice Address - Phone:281-406-0883
Practice Address - Fax:480-287-8372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-02
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health