NPIMap

Organization Active NPI

Assured Medical Group, Inc

  • In Home Supportive Care Agency
  • Rayne, LA
National Provider Identifier
1770711665
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
PCA 15206 Issued in LA
Legal business name
ASSURED MEDICAL GROUP, INC
Practice address
200 American Legion Dr
Rayne, LA 70578-5826
Phone
(337) 334-7031
Fax
(225) 208-1415
NPI assigned
Jun 30, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ASSURED MEDICAL HOLDINGS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Mr. Thomas L Ewing
Title
Executive Director
Phone
(337) 334-7031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X PCA 15206 LA Primary

Addresses

Primary practice location

200 American Legion Dr
Rayne, LA 70578-5826

Mailing address

139B James Comeaux Rd # 575
Lafayette, LA 70508-3255
Phone (337) 334-7031

Other identifiers 1

IdentifierTypeStateIssuer
PCA 82MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Assured Medical Group Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1770711665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139B JAMES COMEAUX RD # 575",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083255",
            "telephone_number": "337-334-7031",
            "fax_number": "225-208-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AMERICAN LEGION DR",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705785826",
            "telephone_number": "337-334-7031",
            "fax_number": "225-208-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSURED MEDICAL HOLDINGS, INC",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-334-7031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "PCA 15206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PCA 82",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayne, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.