Provider Demographics
NPI:1730967472
Name:ASSURED ALL COMMUNITY GROUP
Entity type:Organization
Organization Name:ASSURED ALL COMMUNITY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NJUGUNA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-996-6522
Mailing Address - Street 1:11719 DEVILWOOD DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3405
Mailing Address - Country:US
Mailing Address - Phone:202-792-6673
Mailing Address - Fax:
Practice Address - Street 1:11719 DEVILWOOD DR
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3405
Practice Address - Country:US
Practice Address - Phone:202-792-6673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities