Provider Demographics
NPI:1245002385
Name:ASSURE CARE LLC
Entity type:Organization
Organization Name:ASSURE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAFSA
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-653-3431
Mailing Address - Street 1:1692 LIBERTY CIR
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-4594
Mailing Address - Country:US
Mailing Address - Phone:602-653-3431
Mailing Address - Fax:
Practice Address - Street 1:1692 LIBERTY CIR
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-4594
Practice Address - Country:US
Practice Address - Phone:602-653-3431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSURE CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health