Provider Demographics
NPI:1295089597
Name:ASSURANCE HEALTH CARE, INC.
Entity type:Organization
Organization Name:ASSURANCE HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LARBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-529-4569
Mailing Address - Street 1:6321 GREENBELT RD
Mailing Address - Street 2:SUITE #7
Mailing Address - City:BERWYN HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2352
Mailing Address - Country:US
Mailing Address - Phone:301-529-4569
Mailing Address - Fax:301-324-1376
Practice Address - Street 1:6321 GREENBELT RD
Practice Address - Street 2:SUITE #7
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740-2352
Practice Address - Country:US
Practice Address - Phone:301-529-4569
Practice Address - Fax:301-324-1376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3319251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health