Healthcare Provider Details

I. General information

NPI: 1689217739
Provider Name (Legal Business Name): ALEOSA ASSURANCE HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2019
Last Update Date: 10/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 MAIN ST # 4
MILFORD MA
01757
US

IV. Provider business mailing address

199 MAIN ST # 4
MILFORD MA
01757-2607
US

V. Phone/Fax

Practice location:
  • Phone: 774-719-3261
  • Fax: 508-488-6073
Mailing address:
  • Phone: 774-719-3261
  • Fax: 508-488-6073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOY IGHILE
Title or Position: OWNER
Credential:
Phone: 508-494-0525