Healthcare Provider Details
I. General information
NPI: 1043144843
Provider Name (Legal Business Name): ACHU ASSURE SUPPORT LIVING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8240 CLARA AVE
CINCINNATI OH
45239-4244
US
IV. Provider business mailing address
8240 CLARA AVE
CINCINNATI OH
45239-4244
US
V. Phone/Fax
- Phone: 513-537-6826
- Fax:
- Phone: 513-537-6826
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376J00000X |
| Taxonomy | Homemaker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUZANNE
BARTON
Title or Position: DIRECTOR
Credential: DIRECTOR
Phone: 513-537-6826