- Enrollment id
- O20040501000012
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1992704563
- Multiple npi flag
- N
- Ccn
- 237439
- Associate id
- 5698763530
- Organization name
- ASSURED CARE HOME HEALTH SERVICES, INC.
- Incorporation date
- 1997-07-22
- Incorporation state
- MI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 25925 TELEGRAPH RD
- Address line 2
- STE 310
- City
- SOUTHFIELD
- State
- MI
- Zip code
- 480332518