NPI Code Details Logo

NPI 1063374973

NPI 1063374973 : ENSURCARE LLC. : MONROEVILLE, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1063374973
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ENSURCARE LLC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/01/2025
-----------------------------------------------------
    Last Update Date     |    12/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2550 MONROEVILLE BLVD BLDG 1 
-----------------------------------------------------
    City                 |    MONROEVILLE
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15146-2366
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    412-708-8857
-----------------------------------------------------
    Fax                  |    530-488-4853
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2550 MONROEVILLE BLVD BLDG 1 
-----------------------------------------------------
    City                 |    MONROEVILLE
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15146-2366
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    412-708-8857
-----------------------------------------------------
    Fax                  |    530-488-4853
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/ OPERATOR
-----------------------------------------------------
    Name                 |     MICHELLE  DAVIS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    412-708-8857
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.