MEDICARE: ASSURANCE HEALTH CARE SERVICES 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	251E00000X	Home Health Agency		TX

General Provider Information

NPI Number	:	1679701809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURANCE HEALTH CARE SERVICES INC

Provider Business Mailing Address
First Line	:	3844 CASA DEL SOL LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-1820
Country	:	US
Telephone Number	:	972-698-8758
Fax Number	:	972-698-8758

Provider Business Practice Location Address
First Line	:	3844 CASA DEL SOL LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-1820
Country	:	US
Telephone Number	:	972-698-8758
Fax Number	:	972-698-8758

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. OABIOMA OGBONNA
Credential	:	R.N.
Telephone Number	:	969-887-5872

Provider Enumeration Date	:	06/25/2009
Last Update Date	:	06/25/2009

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