Assuranurse LLC

Key facts

NPI

1154950038

Entity type

Organization (NPI type 2)

Primary specialty

In Home Supportive Care Agency 253Z00000X

Legal business name

ASSURANURSE LLC

Practice address

5030 78TH Ave N Ste 11
Pinellas Park, FL 33781-2406

Phone

(727) 546-4861

Fax

(800) 713-8330

NPI assigned

Apr 3, 2020

Organization subpart

No

Authorized official

Name

Isaac Gomez Rexach NPI 1467081067

Title

Administrator

Phone

(727) 546-4861

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

Practitioners 1

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

• Isaac Gomez Rexach Community Health Worker · Pinellas Park, FL · NPI 1467081067
  NPD Authorized official

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 7, 2020.

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1154950038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 78TH AVE N STE 11",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812406",
            "telephone_number": "727-546-4861",
            "fax_number": "800-713-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 78TH AVE N STE 11",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812406",
            "telephone_number": "727-546-4861",
            "fax_number": "800-713-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANURSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "GOMEZ REXACH",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-546-4861"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSED NURSE REGISTRY",
            "identifier": "30212079",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Pinellas Park, FL · In Home Supportive Care Agency in Florida