Provider Demographics
NPI:1992590111
Name:ASSURA HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:ASSURA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANE
Authorized Official - Middle Name:NGANKO
Authorized Official - Last Name:SANDJONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-574-9736
Mailing Address - Street 1:776 W LUMSDEN RD STE 6
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-8805
Mailing Address - Country:US
Mailing Address - Phone:813-574-9736
Mailing Address - Fax:
Practice Address - Street 1:776 W LUMSDEN RD STE 6
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-8805
Practice Address - Country:US
Practice Address - Phone:813-574-9736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health