# ASSURED EXTRA CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASSURED EXTRA CARE INC
- **Other names:** Assured Extra Care Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124696604
- **Legal business name:** ASSURED EXTRA CARE INC
- **Authorized official:** OMOYEMI A FASHEUN CEO (ADMINISTRATOR)
- **Authorized official phone:** (832) 794-5177

## Contact information

- **Practice address:** 5540 CENTERVIEW DR STE 200, RALEIGH, NC 27606-3386
- **Practice address phone:** (832) 794-5177
- **Mailing address:** 12203 RESIDENT CIR \# 12203, CARY, NC 27519-9467
- **Mailing address phone:** (832) 794-5177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 163WC1500X | Community Health Registered Nurse | — | NULL | — |
| 163WC1500X | Community Health Registered Nurse | — | — | — |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 224ZF0002X | Feeding, Eating & Swallowing Occupational Therapy Assistant | — | NULL | — |
| 224ZF0002X | Feeding, Eating & Swallowing Occupational Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/11/2021
- **Last updated:** 06/11/2021