Healthcare Provider Details

I. General information

NPI: 1972857621
Provider Name (Legal Business Name): ASSURED INDEPENDENCE CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2012
Last Update Date: 03/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10410 BELVAMERA RD
RICHMOND TX
77407-2730
US

IV. Provider business mailing address

10410 BELVAMERA RD
RICHMOND TX
77407-2730
US

V. Phone/Fax

Practice location:
  • Phone: 281-406-0883
  • Fax: 480-287-8372
Mailing address:
  • Phone: 281-406-0883
  • Fax: 480-287-8372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHIMIRI C. DUNCAN
Title or Position: PRESIDENT
Credential: MBA
Phone: 281-406-0883