Provider Demographics
NPI:1396490736
Name:ASSURANCE CARE & SUPPORT SERVICES INC
Entity type:Organization
Organization Name:ASSURANCE CARE & SUPPORT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GBEMISOLA
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:OLABODE
Authorized Official - Suffix:III
Authorized Official - Credentials:BSC
Authorized Official - Phone:443-743-4453
Mailing Address - Street 1:120 WOOD AVE S STE 503
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2736
Mailing Address - Country:US
Mailing Address - Phone:443-743-4453
Mailing Address - Fax:
Practice Address - Street 1:120 WOOD AVE S STE 503
Practice Address - Street 2:
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-2736
Practice Address - Country:US
Practice Address - Phone:443-743-4453
Practice Address - Fax:732-621-8351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health