Provider Demographics
NPI:1699233197
Name:ASSURANCE COMFORT LIVING LLC
Entity type:Organization
Organization Name:ASSURANCE COMFORT LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:813-416-4685
Mailing Address - Street 1:11052 CAPTAIN DR
Mailing Address - Street 2:SPRING HILL FL 34608
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-5008
Mailing Address - Country:US
Mailing Address - Phone:813-416-4685
Mailing Address - Fax:
Practice Address - Street 1:11052 CAPTAIN DR
Practice Address - Street 2:SPRING HILL FL 34608
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-5008
Practice Address - Country:US
Practice Address - Phone:813-416-4685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
No163WX1500XNursing Service ProvidersRegistered NurseOstomy CareGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL021961100Medicaid
FL017251700Medicaid
FL021958600Medicaid
FL017251701Medicaid