Assurance Healthcare Services, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

2464 Issued in VA

Legal business name

ASSURANCE HEALTHCARE SERVICES, LLC

Practice address

4420 Stark PL
Annandale, VA 22003-3960

Phone

(240) 498-1461

Fax

(301) 398-8312

NPI assigned

Jan 5, 2016

Last updated

Jan 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Fru Akufongwe

Title

Ceo

Phone

(240) 498-1461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1518323724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 STARK PL",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033960",
            "telephone_number": "240-498-1461",
            "fax_number": "301-398-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 STARK PL",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033960",
            "telephone_number": "240-498-1461",
            "fax_number": "301-398-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "AKUFONGWE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "FRU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-498-1461",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "VA",
            "license": "2464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.