MEDICARE: ASSURANCE HEALTH SOLUTIONS 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1295354108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURANCE HEALTH SOLUTIONS INC.

Provider Business Mailing Address
First Line	:	9747 W SAMPLE RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9747 W SAMPLE RD
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4003
Country	:	US
Telephone Number	:	954-255-2505
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TAVERE JOHNSON
Credential	:
Telephone Number	:	954-255-2505

Provider Enumeration Date	:	04/10/2020
Last Update Date	:	02/22/2021

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