MEDICARE: ASSURED HEALTHCARE SYSTEMS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251J00000X	Nursing Care Agency
3	251S00000X	Community/Behavioral Health Agency
4	261QM2800X	Methadone Clinic
5	261QP2300X	Primary Care Clinic/Center
6	3416A0800X	Air Ambulance
7	385H00000X	Respite Care
8	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1992260285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSURED HEALTHCARE SYSTEMS

Provider Business Mailing Address
First Line	:	2870 S MARYLAND PKWY STE 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-1548
Country	:	US
Telephone Number	:	702-665-6110
Fax Number	:

Provider Business Practice Location Address
First Line	:	2870 S MARYLAND PKWY STE 300
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-1552
Country	:	US
Telephone Number	:	702-665-6110
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DEANDRE HOLT
Credential	:
Telephone Number	:	702-665-6110

Provider Enumeration Date	:	01/31/2019
Last Update Date	:	03/13/2019

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Directions to “ASSURED HEALTHCARE SYSTEMS ” Practice Location

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