Provider Demographics
NPI:1053622779
Name:ASSURANCEJ HOMECARE SERVICES ,INC.
Entity type:Organization
Organization Name:ASSURANCEJ HOMECARE SERVICES ,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:C
Authorized Official - Last Name:NWOKORIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-988-2618
Mailing Address - Street 1:PO BOX 31626
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77231-1626
Mailing Address - Country:US
Mailing Address - Phone:713-988-2618
Mailing Address - Fax:713-988-2619
Practice Address - Street 1:11602 BURDINE ST STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-2704
Practice Address - Country:US
Practice Address - Phone:713-988-2618
Practice Address - Fax:713-988-2619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-28
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182449201Medicaid
TX1053622779Medicaid