Healthcare Provider Details

I. General information

NPI: 1992463772
Provider Name (Legal Business Name): ASSURANCE CARE NURSING HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2021
Last Update Date: 11/30/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31515 RANCHO PUEBLO RD STE 102
TEMECULA CA
92592-4837
US

IV. Provider business mailing address

30724 BENTON RD STE C302
WINCHESTER CA
92596-8470
US

V. Phone/Fax

Practice location:
  • Phone: 877-885-4088
  • Fax:
Mailing address:
  • Phone: 601-316-4353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. TOLULOPE TITILAYO ADEDAYO
Title or Position: DIRECTOR
Credential: DNP, MSN, FNP-C, PMH
Phone: 951-777-0788