Healthcare Provider Details

I. General information

NPI: 1700313046
Provider Name (Legal Business Name): ASSURED MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 NILES CORTLAND RD SE STE D
WARREN OH
44484-5719
US

IV. Provider business mailing address

400 NILES CORTLAND RD SE STE D
WARREN OH
44484-5719
US

V. Phone/Fax

Practice location:
  • Phone: 330-719-9066
  • Fax:
Mailing address:
  • Phone: 330-719-9066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT R CARR SR.
Title or Position: PRESIDENT/CEO
Credential:
Phone: 330-719-9066