Provider Demographics
NPI:1679802391
Name:ASSURANT HEALTHCARE SERVICES INC.
Entity type:Organization
Organization Name:ASSURANT HEALTHCARE SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:AIFEKELU
Authorized Official - Last Name:ATIVIE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:713-962-1824
Mailing Address - Street 1:8226 MISSION ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5376
Mailing Address - Country:US
Mailing Address - Phone:832-532-7300
Mailing Address - Fax:832-532-7301
Practice Address - Street 1:8226 MISSION ESTATES DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5376
Practice Address - Country:US
Practice Address - Phone:832-532-7300
Practice Address - Fax:832-532-7301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX801195338251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health