Organization Active NPI

Assurance Optimal Health LLC

  • Primary Care Clinic/Center
  • Stratford, CT
National Provider Identifier
1093481137
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ASSURANCE OPTIMAL HEALTH LLC
Practice address
1111 Stratford Ave Apt 404
Stratford, CT 06615-6380
Phone
(203) 278-1125
NPI assigned
Aug 18, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Kwame Acheampong, NPNPI 1659975969
Title
NP
Phone
(203) 278-1125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1111 Stratford Ave Apt 404
Stratford, CT 06615-6380

Mailing address

1111 Stratford Ave Apt 404
Stratford, CT 06615-6380
Phone (203) 278-1125

Other names 1

  • Assurance Optimal Health LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

238 Monroe Tpke
Unit 2B
Monroe, CT 06468
Phone (203) 278-1125

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1093481137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 STRATFORD AVE APT 404",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156380",
            "telephone_number": "203-278-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 STRATFORD AVE APT 404",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066156380",
            "telephone_number": "203-278-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE OPTIMAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "ACHEAMPONG",
        "authorized_official_first_name": "KWAME",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "203-278-1125",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assurance Optimal Health LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.