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General NPI Number Information
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NPI Number | 1326644865
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Entity Type | Organization
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Legal Business Name | ASSURED HOME CARE, INC.
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 1448 WASHINGTON ST
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City | KINGSBURG
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State | CA
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Zip | 93631-1931
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Country | US
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Telephone | 559-802-7750
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Fax | 559-897-5313
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Provider Business Mailing Address
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Address Line | 1881 WINTER ST
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City | KINGSBURG
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State | CA
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Zip | 93631-1438
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Country | US
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Telephone | 559-802-7750
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. JANIS HOPE SIMMONS
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Credential | OTR
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Telephone | 559-802-7750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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