NPIMap

Organization Active NPI

Assurance Healthcare Services, LLC

  • Nursing Care Agency
  • Silver Spring, MD
National Provider Identifier
1164568978
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
R1064 Issued in MD
Legal business name
ASSURANCE HEALTHCARE SERVICES, LLC
Practice address
12301 Old Columbia Pike Ste 305
Silver Spring, MD 20904-1730
Phone
(301) 422-2273
Fax
(301) 422-4104
NPI assigned
Jan 29, 2007
Organization subpart
Yes
Parent organization
ASSURANCE HEALTHCARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Mrs. Lois E Bullard, R.N.
Title
Chief Execitive Officer
Phone
(301) 422-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X R1064 MD Primary

Addresses

Primary practice location

12301 Old Columbia Pike Ste 305
Silver Spring, MD 20904-1730

Mailing address

12301 Old Columbia Pike Ste 305
Silver Spring, MD 20904-1730
Phone (301) 422-2273

Other identifiers 1

IdentifierTypeStateIssuer
751713100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Assurance Healthcare Services Inc2 organizations share this tax ID, including this one
Part of
Assurance Healthcare Services Inc

Other organizations with this tax ID 1

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

Locations

12301 Old Columbia Pike
Ste 305
Silver Spring, MD 20904
Phone (301) 422-2273

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1164568978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 OLD COLUMBIA PIKE STE 305",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041730",
            "telephone_number": "301-422-2273",
            "fax_number": "301-422-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 OLD COLUMBIA PIKE STE 305",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041730",
            "telephone_number": "301-422-2273",
            "fax_number": "301-422-4104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSURANCE HEALTHCARE SERVICES",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECITIVE OFFICER",
        "authorized_official_telephone_number": "301-422-2273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R1064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751713100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.