Provider Demographics
NPI:1316762206
Name:ASSURED COMFORT CARE LLC
Entity type:Organization
Organization Name:ASSURED COMFORT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VRANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-491-6619
Mailing Address - Street 1:5404 39TH ST
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53144-1856
Mailing Address - Country:US
Mailing Address - Phone:414-491-6619
Mailing Address - Fax:
Practice Address - Street 1:2806 LORAINE AVE
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53404-1722
Practice Address - Country:US
Practice Address - Phone:414-491-6619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities