Provider Demographics
NPI:1912271388
Name:PROASSIST, LLC
Entity Type:Organization
Organization Name:PROASSIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CHER
Authorized Official - Middle Name:
Authorized Official - Last Name:URBINA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:617-299-0833
Mailing Address - Street 1:1055 W BRYN MAWR AVE
Mailing Address - Street 2:SUITE F297
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-4691
Mailing Address - Country:US
Mailing Address - Phone:617-299-0833
Mailing Address - Fax:877-268-1492
Practice Address - Street 1:9046 US HIGHWAY 31
Practice Address - Street 2:SUITE 12
Practice Address - City:BERRIEN SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49103-1697
Practice Address - Country:US
Practice Address - Phone:617-299-0833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care