Organization Active NPI

Assurance Home Care LLC

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1134556186
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ASSURANCE HOME CARE LLC
Practice address
6512 Six Forks Rd
Suite 502B
Raleigh, NC 27615-6561
Phone
(919) 520-8118
Fax
(919) 662-2741
NPI assigned
Oct 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Mr. Calvin K Coates
Title
Assistant Director
Phone
(347) 204-4672

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
In Home Supportive Care Agency 253Z00000X 150876 NC

Addresses

Primary practice location

6512 Six Forks Rd
Suite 502B
Raleigh, NC 27615-6561

Mailing address

3421 Futura LN
Raleigh, NC 27610-6057
Phone (347) 204-4672

National Provider Directory

National Provider Directory

Locations

6512 Six Forks Rd
Ste 502B
Raleigh, NC 27615
Phone (919) 520-8118

NPI Registry JSON

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1134556186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 FUTURA LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106057",
            "telephone_number": "347-204-4672",
            "fax_number": "919-662-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 SIX FORKS RD",
            "address_2": "SUITE 502B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156561",
            "telephone_number": "919-520-8118",
            "fax_number": "919-662-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "347-204-4672",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "150876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.