MEDICARE: ASSURE HOME CARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3747P1801X	Personal Care Attendant
2	253Z00000X	In Home Supportive Care Agency
3	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1235408519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURE HOME CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	1962 W HAMPTON AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-5772
Country	:	US
Telephone Number	:	414-793-8393
Fax Number	:	414-372-1203

Provider Business Practice Location Address
First Line	:	1962 W HAMPTON AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-5772
Country	:	US
Telephone Number	:	414-793-8393
Fax Number	:	414-372-1203

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	RELONDIA DELANEY
Credential	:
Telephone Number	:	414-372-9888

Provider Enumeration Date	:	12/15/2011
Last Update Date	:	09/15/2022

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