Provider Type Icon

ASSURE MEDICAL AT HOME LLC NPI 1104482504


NPI Information

NPI: 1104482504
Provider Name: ASSURE MEDICAL AT HOME, LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 11D2144637

Address:
1711 BUENA VISTA RD STE 2
COLUMBUS, GA
ZIP 31906
Phone: (706) 641-2151
Get Directions

ASSURE MEDICAL AT HOME, LLC is an in home supportive care in Columbus, GA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. ASSURE MEDICAL AT HOME, LLC NPI is 1104482504. The provider is registered as an organization entity type.

The provider's business location address is:

1711 BUENA VISTA RD STE 2
COLUMBUS, GA
ZIP 31906-141
Phone: (706) 641-2151
Fax: (706) 641-2171

The provider's authorized official is Conchetta Perry .
The authorized official title is Owner and has the following contact phone number (706) 641-2151.

The CLIA number assigned to this NPI record is 11D2144637 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2019 and was last updated on 5/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003193515AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.