Provider Demographics
NPI:1992463772
Name:ASSURANCE CARE NURSING HEALTH INC
Entity type:Organization
Organization Name:ASSURANCE CARE NURSING HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TOLULOPE
Authorized Official - Middle Name:TITILAYO
Authorized Official - Last Name:ADEDAYO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, MSN, FNP-C, PMH
Authorized Official - Phone:951-777-0788
Mailing Address - Street 1:30724 BENTON RD STE C302
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:92596-8470
Mailing Address - Country:US
Mailing Address - Phone:601-316-4353
Mailing Address - Fax:
Practice Address - Street 1:31515 RANCHO PUEBLO RD STE 102
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-4837
Practice Address - Country:US
Practice Address - Phone:877-885-4088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty