Healthcare Provider Details

I. General information

NPI: 1225687783
Provider Name (Legal Business Name): ASSURED INDEPENDENCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2019
Last Update Date: 04/17/2023
Certification Date: 04/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 COLBY AVE STE B
EVERETT WA
98201-4032
US

IV. Provider business mailing address

3125 COLBY AVE STE B
EVERETT WA
98201-4032
US

V. Phone/Fax

Practice location:
  • Phone: 425-516-7400
  • Fax: 888-316-1476
Mailing address:
  • Phone: 425-516-7400
  • Fax: 888-316-1476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAVID HUNT
Title or Position: MANAGING MEMBER
Credential:
Phone: 425-516-7400