Organization Active NPI

Assured Companions at Home

  • Home Health Agency
  • Bellevue, NE
National Provider Identifier
1083476543
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASSURED COMPANIONS AT HOME
Practice address
2327 McCorkindale PLZ Apt 102
Bellevue, NE 68147-1589
Phone
(346) 417-8505
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Kaylisha GravesNPI 1427862721
Title
Owner
Phone
(346) 417-8505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2327 McCorkindale PLZ Apt 102
Bellevue, NE 68147-1589

Mailing address

2327 McCorkindale PLZ Apt 102
Bellevue, NE 68147-1589
Phone (346) 417-8505

National Provider Directory

National Provider Directory
Tax ID family
Assured Companions at Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1083476543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 MCCORKINDALE PLZ APT 102",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681471589",
            "telephone_number": "346-417-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 MCCORKINDALE PLZ APT 102",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681471589",
            "telephone_number": "346-417-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED COMPANIONS AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "KAYLISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-417-8505"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.