Provider Demographics
NPI:1811290364
Name:ASSURED HEALTH SYSTEMS LLC
Entity type:Organization
Organization Name:ASSURED HEALTH SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:ULLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-628-7636
Mailing Address - Street 1:295 SEVEN FARMS DR
Mailing Address - Street 2:SUITE C-163
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-8001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7930 W KENTON CIR
Practice Address - Street 2:SUITE 220
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-1836
Practice Address - Country:US
Practice Address - Phone:704-464-3003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies