Provider Demographics
NPI:1124859186
Name:ASSURED CARE HEALTH SERVICES
Entity type:Organization
Organization Name:ASSURED CARE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MONSURAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEBAYO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:678-778-3991
Mailing Address - Street 1:1314 SYDNEY POND CIR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-3359
Mailing Address - Country:US
Mailing Address - Phone:678-778-3991
Mailing Address - Fax:
Practice Address - Street 1:1314 SYDNEY POND CIR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-3359
Practice Address - Country:US
Practice Address - Phone:678-778-3991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health