Provider Demographics
NPI:1245884857
Name:REST ASSURED HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:REST ASSURED HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/STNA
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-899-4561
Mailing Address - Street 1:14593 COUNTY ROAD 424
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:43556-9761
Mailing Address - Country:US
Mailing Address - Phone:419-899-4561
Mailing Address - Fax:
Practice Address - Street 1:14593 COUNTY ROAD 424
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:OH
Practice Address - Zip Code:43556-9761
Practice Address - Country:US
Practice Address - Phone:419-899-4561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health