Provider Demographics
NPI:1336818830
Name:ASSURED HOME NURSING SERVICES INC
Entity Type:Organization
Organization Name:ASSURED HOME NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VIKRANTH
Authorized Official - Middle Name:K
Authorized Official - Last Name:ANNEBOINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-544-4525
Mailing Address - Street 1:725 S ADAMS RD STE 258
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6983
Mailing Address - Country:US
Mailing Address - Phone:636-544-4525
Mailing Address - Fax:
Practice Address - Street 1:725 S ADAMS RD STE 258
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-6983
Practice Address - Country:US
Practice Address - Phone:636-544-4525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care