Provider Demographics
NPI:1205550506
Name:ASSURED HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:ASSURED HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NGWOBIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-322-5254
Mailing Address - Street 1:314 W MILLBROOK RD STE 19
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4380
Mailing Address - Country:US
Mailing Address - Phone:919-532-4322
Mailing Address - Fax:
Practice Address - Street 1:314 W MILLBROOK RD STE 19
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4380
Practice Address - Country:US
Practice Address - Phone:919-532-4322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No253Z00000XAgenciesIn Home Supportive Care