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General NPI Number Information
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NPI Number | 1659293900
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Entity Type | Organization
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Legal Business Name | ASSURE COMMUNITY LIVING SERVICES LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 5089 AARON LN
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City | COLUMBUS
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State | GA
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Zip | 31907-7460
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Country | US
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Telephone | 706-610-2737
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Fax |
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Provider Business Mailing Address
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Address Line | 2048 OSPREY COVE DR
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City | COLUMBUS
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State | GA
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Zip | 31904-2036
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Country | US
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Telephone | 706-888-0155
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Fax |
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Authorized Official
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Title or Position | CHIEF OF OPERATIONS
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Name | MS. DENISE AVERETT
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Credential | MBA
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Telephone | 706-888-0155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC1600X
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Taxonomy Name | Continuing Education/Staff Development Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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