Assurance Care Systems LLC,

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

4809149 Issued in OH

Legal business name

ASSURANCE CARE SYSTEMS LLC,

Practice address

2720 Hoehler Dr
Toledo, OH 43606-3908

Phone

(567) 315-6609

NPI assigned

Feb 28, 2017

Organization subpart

No

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

Authorized official

Name

Deavonte J Williams

Title

Ceo

Phone

(567) 315-6609

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1407396294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 HOEHLER DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063908",
            "telephone_number": "567-315-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 HOEHLER DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063908",
            "telephone_number": "567-315-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE CARE SYSTEMS LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEAVONTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "567-315-6609"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OH",
            "license": "4809149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195349",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Toledo, OH
• Providers in Toledo, OH by specialty
• Exclusive Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.