MEDICARE: ASSURED HOME RESPIRATORY & MEDICAL EQUIPMENT INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)	00934	NC

General Provider Information

NPI Number	:	1154354165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURED HOME RESPIRATORY & MEDICAL EQUIPMENT INC.

Provider Business Mailing Address
First Line	:	3711 LATROBE DR
Second Line	:	STE. 550
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-1164
Country	:	US
Telephone Number	:	704-442-8830
Fax Number	:

Provider Business Practice Location Address
First Line	:	3711 LATROBE DR
Second Line	:	STE. 550
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-1164
Country	:	US
Telephone Number	:	704-442-8830
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. LAUREN MACGILLIS
Credential	:
Telephone Number	:	704-442-8830

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	08/25/2009

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