MEDICARE: ASSURANCE HOME HEALTHCARE

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1508162025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURANCE HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	906 INTERSTATE RIDGE DR STE B
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-7074
Country	:	US
Telephone Number	:	770-532-6470
Fax Number	:	770-532-6445

Provider Business Practice Location Address
First Line	:	906 INTERSTATE RIDGE DR STE B
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-7074
Country	:	US
Telephone Number	:	770-532-6470
Fax Number	:	770-532-6445

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BARRY SANDERS
Credential	:
Telephone Number	:	770-826-2478

Provider Enumeration Date	:	01/31/2011
Last Update Date	:	01/31/2011

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