Active NPI
Assured Independence, LLC
- Emergency Response System Companies
- Everett, WA
National Provider Identifier
1225687783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Response System Companies
- Legal business name
- ASSURED INDEPENDENCE, LLC
- Practice address
- 3125 Colby Ave Ste B
Everett, WA 98201-4032 - Phone
- (425) 516-7400
- Fax
- (888) 316-1476
- NPI assigned
- Sep 8, 2019
- Last updated
- Apr 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Hunt
- Title
- Managing Member
- Phone
- (425) 516-7400
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | NU | ||
| Emergency Response System Companies | 333300000X | NU | Primary | |
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
3125 Colby Ave Ste B
Everett, WA 98201-4032
Mailing address
3125 Colby Ave Ste B
Everett, WA 98201-4032
Phone (425) 516-7400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0555165 | Medicaid | MT | |
| 0555169 | Medicaid | MT | |
| A0003833 | Medicaid | ID | |
| 111412702 | Medicaid | WA | |
| 500644144 | Medicaid | OR | |
| 111412701 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
3125 Colby Ave
Ste B
Everett, WA 98201
Phone (425) 258-2958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681689600000",
"number": "1225687783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 COLBY AVE STE B",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014032",
"telephone_number": "425-516-7400",
"fax_number": "888-316-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 COLBY AVE STE B",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014032",
"telephone_number": "425-516-7400",
"fax_number": "888-316-1476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSURED INDEPENDENCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-08",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A",
"authorized_official_last_name": "HUNT",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "425-516-7400"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333300000X",
"taxonomy_group": "",
"desc": "Emergency Response System Companies",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0555165",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0555169",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A0003833",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111412702",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500644144",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111412701",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.