Healthcare Provider Details

I. General information

NPI: 1164568978
Provider Name (Legal Business Name): ASSURANCE HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12301 OLD COLUMBIA PIKE STE 305
SILVER SPRING MD
20904-1730
US

IV. Provider business mailing address

12301 OLD COLUMBIA PIKE STE 305
SILVER SPRING MD
20904-1730
US

V. Phone/Fax

Practice location:
  • Phone: 301-422-2273
  • Fax: 301-422-4104
Mailing address:
  • Phone: 301-422-2273
  • Fax: 301-422-4104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberR1064
License Number StateMD

VIII. Authorized Official

Name: MRS. LOIS E BULLARD
Title or Position: CHIEF EXECITIVE OFFICER
Credential: R.N.
Phone: 301-422-2273