Assurity Home Health Passport Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ASSURITY HOME HEALTH PASSPORT SERVICES, LLC

Practice address

107 S Ohio Ave
Wellston, OH 45692-1241

Phone

(740) 384-9616

Fax

(740) 384-9617

NPI assigned

May 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth Lee Morehouse

Title

Ceo

Phone

(740) 384-9616

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1003074774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S OHIO AVE",
            "city": "WELLSTON",
            "state": "OH",
            "postal_code": "456921241",
            "telephone_number": "740-384-9616",
            "fax_number": "740-384-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S OHIO AVE",
            "city": "WELLSTON",
            "state": "OH",
            "postal_code": "456921241",
            "telephone_number": "740-384-9616",
            "fax_number": "740-384-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURITY HOME HEALTH PASSPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "MOREHOUSE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-384-9616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.