Provider Demographics
NPI:1548827546
Name:ASSURED HOME SERVICES INC
Entity type:Organization
Organization Name:ASSURED HOME SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:OLA
Authorized Official - Last Name:ORJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-867-0706
Mailing Address - Street 1:21351 GENTRY DR STE 225
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-8513
Mailing Address - Country:US
Mailing Address - Phone:703-867-0706
Mailing Address - Fax:703-997-0242
Practice Address - Street 1:819 CATTAIL LN NE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-2446
Practice Address - Country:US
Practice Address - Phone:703-867-0706
Practice Address - Fax:703-997-0242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-24
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities