Organization
ASSURED EXTRA CARE INC
Active
Parent organization
ASSURED EXTRA CARE INC
Other names
Assured Extra Care Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
ASSURED EXTRA CARE INC
Authorized official
OMOYEMI A FASHEUN CEO (ADMINISTRATOR)
(832) 794-5177
Entity
Organization
Contact information
Practice address
5540 CENTERVIEW DR STE 200, RALEIGH, NC 27606-3386
(832) 794-5177
Mailing address
12203 RESIDENT CIR # 12203, CARY, NC 27519-9467
(832) 794-5177
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163WC1500X
Community Health Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
Primary
—
—
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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