Provider Demographics
NPI:1023335684
Name:ASSURED COMMUNITY CARE INC.
Entity type:Organization
Organization Name:ASSURED COMMUNITY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATIVE
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-749-5771
Mailing Address - Street 1:400 S OLD HIGHWAY 81
Mailing Address - Street 2:SUITE A3
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-5420
Mailing Address - Country:US
Mailing Address - Phone:512-749-5771
Mailing Address - Fax:
Practice Address - Street 1:400 S OLD HIGHWAY 81
Practice Address - Street 2:SUITE A3
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-5420
Practice Address - Country:US
Practice Address - Phone:512-749-5771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care