Provider Demographics
NPI:1912239047
Name:ASSURANCE COMMUNITY LONG TERM CARE LLP
Entity Type:Organization
Organization Name:ASSURANCE COMMUNITY LONG TERM CARE LLP
Other - Org Name:ASSURANCE HOME SOLUTIONS LLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:DIONNE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-684-7611
Mailing Address - Street 1:2012 HIGHWAY 160 W
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-8401
Mailing Address - Country:US
Mailing Address - Phone:704-684-7611
Mailing Address - Fax:
Practice Address - Street 1:18001 DELMAS DR
Practice Address - Street 2:APT1B
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-9043
Practice Address - Country:US
Practice Address - Phone:704-684-7611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health