Provider Demographics
NPI:1255122925
Name:ALLEDUS ASSURANCE GROUP, LLC
Entity type:Organization
Organization Name:ALLEDUS ASSURANCE GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VERANDA
Authorized Official - Middle Name:KATE
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:877-786-8088
Mailing Address - Street 1:11073 LEXINGTON DR
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35456-2213
Mailing Address - Country:US
Mailing Address - Phone:205-792-3690
Mailing Address - Fax:877-786-8088
Practice Address - Street 1:11073 LEXINGTON DR
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:AL
Practice Address - Zip Code:35456-2213
Practice Address - Country:US
Practice Address - Phone:205-792-3690
Practice Address - Fax:877-786-8088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child