Organization Active NPI

Assurance Home Care Solutions LLC

  • Home Health Agency
  • Garland, TX
National Provider Identifier
1356675755
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ASSURANCE HOME CARE SOLUTIONS LLC
Doing business as
ASSURANCE HOME CARE SOLUTIONS
Practice address
1919 South Shiloh Road Suite 430
Garland, TX 75042
Phone
(972) 698-8758
Fax
(972) 349-9813
NPI assigned
Oct 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
Mr. Ibe Ogwumike Ogbonna
Title
Ceo/Cfo
Phone
(214) 684-1472

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

1919 South Shiloh Road Suite 430
Garland, TX 75042

Mailing address

1919 South Shiloh Road Suite 430
Garland, TX 75042
Phone (972) 698-8758

Other names 1

  • ASSURANCE HOME CARE SOLUTIONS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110526000725 TX Part A Provider - Home Health Agency 6204013329 Practice locations: Garland, TX

Home health agency certification: CCN 747791

Legal name
ASSURANCE HOME CARE SOLUTIONS LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 9, 2012
Last certification
Aug 21, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 1, 2009 in TX
Enrollment address
1919 S Shiloh Rd
Ste 430
Garland, TX 75042-8238

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assurance Home Care SolutionsCCN 747791
Ownership
Proprietary
Certified
Sep 9, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1919 S Shiloh Rd
Ste 430
Garland, TX 75042
Phone (972) 278-2021

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ibe O Ogbonna Individual 5% Or Greater Direct Ownership Interest Oct 1, 2009 5%
5% Or Greater Indirect Ownership Interest Jun 1, 2013 100%
5% Or Greater Mortgage Interest Jun 1, 2013 100%
5% Or Greater Security Interest Jun 1, 2013 100%
Corporate OfficerCeo Jun 1, 2013 100%
Corporate DirectorCeo Jun 1, 2013 100%
W-2 Managing Employee Jun 1, 2013 100%
Operational/Managerial ControlCeo Jun 1, 2013 100%
Obioma Ogbonna Individual 5% Or Greater Direct Ownership Interest Oct 1, 2009 95%
W-2 Managing Employee Feb 21, 2011

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1356675755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 SOUTH SHILOH ROAD SUITE 430",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "972-698-8758",
            "fax_number": "972-349-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 SOUTH SHILOH ROAD SUITE 430",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "972-698-8758",
            "fax_number": "972-349-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE HOME CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "OGBONNA",
        "authorized_official_first_name": "IBE",
        "authorized_official_middle_name": "OGWUMIKE",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "214-684-1472",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSURANCE HOME CARE SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASSURANCE HOME CARE SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.