MEDICARE: ASSURED QUALITY CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1346846466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURED QUALITY CARE

Provider Business Mailing Address
First Line	:	3015 N OCEAN BLVD STE 116A
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-7344
Country	:	US
Telephone Number	:	954-695-9001
Fax Number	:	305-256-8085

Provider Business Practice Location Address
First Line	:	3015 N OCEAN BLVD STE 116A
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-7344
Country	:	US
Telephone Number	:	954-695-9001
Fax Number	:	305-256-8085

Authorized Official
Title or Position	:	OWNER
Name	:	ARKIM SIMS-MORGAN
Credential	:
Telephone Number	:	954-695-9001

Provider Enumeration Date	:	12/06/2020
Last Update Date	:	12/06/2020

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Directions to “ASSURED QUALITY CARE ” Practice Location

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