Provider Demographics
NPI:1316721921
Name:ASSURANCE & QUALITY COMPANION CARE SERVICES
Entity type:Organization
Organization Name:ASSURANCE & QUALITY COMPANION CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NIKESHA
Authorized Official - Middle Name:S
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-528-0399
Mailing Address - Street 1:62 OAK GROVE LN
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32351-8895
Mailing Address - Country:US
Mailing Address - Phone:850-528-0399
Mailing Address - Fax:850-724-1717
Practice Address - Street 1:62 OAK GROVE LN
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-8895
Practice Address - Country:US
Practice Address - Phone:850-528-0399
Practice Address - Fax:850-724-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care