Healthcare Provider Details

I. General information

NPI: 1235408519
Provider Name (Legal Business Name): ASSURE HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2011
Last Update Date: 09/15/2022
Certification Date: 09/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1962 W HAMPTON AVE
MILWAUKEE WI
53209-5772
US

IV. Provider business mailing address

1962 W HAMPTON AVE
MILWAUKEE WI
53209-5772
US

V. Phone/Fax

Practice location:
  • Phone: 414-793-8393
  • Fax: 414-372-1203
Mailing address:
  • Phone: 414-793-8393
  • Fax: 414-372-1203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RELONDIA DELANEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 414-372-9888