Provider Demographics
NPI:1760378004
Name:ASSURANT RECUPERATIVE CARE LLC
Entity type:Organization
Organization Name:ASSURANT RECUPERATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:OBWAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-339-4495
Mailing Address - Street 1:3076 131ST CT NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-6279
Mailing Address - Country:US
Mailing Address - Phone:763-339-4495
Mailing Address - Fax:
Practice Address - Street 1:1755 113TH LN NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-4450
Practice Address - Country:US
Practice Address - Phone:763-339-4495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-13
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No177F00000XOther Service ProvidersLodging
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp