Provider Demographics
NPI:1134535362
Name:ASSURED CORPORATION
Entity type:Organization
Organization Name:ASSURED CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.F.O
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIHERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-221-4854
Mailing Address - Street 1:13198 CENTERPOINTE WAY
Mailing Address - Street 2:SUITE # 101
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193
Mailing Address - Country:US
Mailing Address - Phone:703-221-4854
Mailing Address - Fax:703-221-4902
Practice Address - Street 1:225 INDUSTRIAL COURT
Practice Address - Street 2:SUITE # 100
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-2443
Practice Address - Country:US
Practice Address - Phone:540-656-2468
Practice Address - Fax:540-693-2263
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSURED CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-151155251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health