Organization Active NPI

Assured Horizons LLC

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1386142610
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
100062900 Issued in WI
Legal business name
ASSURED HORIZONS LLC
Practice address
3910 W Vera Ave
Milwaukee, WI 53209-2419
Phone
(414) 446-8309
Fax
(832) 383-3857
NPI assigned
Feb 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Mrs. Keyia M Holmes
Title
Ceo
Phone
(414) 446-8309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 100062900 WI Primary

Addresses

Primary practice location

3910 W Vera Ave
Milwaukee, WI 53209-2419

Mailing address

3910 W Vera Ave
Milwaukee, WI 53209-2419
Phone (414) 446-8309

Other identifiers 1

IdentifierTypeStateIssuer
100062900MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1386142610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 W VERA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092419",
            "telephone_number": "414-446-8309",
            "fax_number": "832-383-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 W VERA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092419",
            "telephone_number": "414-446-8309",
            "fax_number": "832-383-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED HORIZONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "KEYIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-446-8309",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "100062900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100062900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.