Provider Demographics
NPI:1801816863
Name:ASSURED HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:ASSURED HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGDALENA
Authorized Official - Middle Name:B
Authorized Official - Last Name:CARLAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:219-322-7664
Mailing Address - Street 1:1947 HARDER CT STE B
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-1696
Mailing Address - Country:US
Mailing Address - Phone:219-322-7664
Mailing Address - Fax:219-322-7109
Practice Address - Street 1:1947 HARDER CT STE B
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-1696
Practice Address - Country:US
Practice Address - Phone:219-322-7664
Practice Address - Fax:219-322-7109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN157581Medicare ID - Type Unspecified