Provider Demographics
NPI:1730512641
Name:ASSURED HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:ASSURED HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:O
Authorized Official - Last Name:ORJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-867-0706
Mailing Address - Street 1:43244 HEAVENLY CIR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-5039
Mailing Address - Country:US
Mailing Address - Phone:703-543-9255
Mailing Address - Fax:
Practice Address - Street 1:46396 BENEDICT DR
Practice Address - Street 2:STE. 240
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-6626
Practice Address - Country:US
Practice Address - Phone:703-543-9255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-14
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAS464323251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health