ASSURE MEDICAL AT HOME, LLC
NPI 1104482504
In Home Supportive Care in Columbus, GA

Active since May 13, 2019CLIA 11D2144637 · Waiver
1711 BUENA VISTA RD STE 2, COLUMBUS, GA 31906(706) 641-2151(706) 641-2171 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Assure Medical At Home, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASSURE MEDICAL AT HOME, LLC (NPI 1104482504) is a healthcare organization registered as an in home supportive care in Columbus, Georgia and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through February 20, 2028 and lists Conchetta Perry, Owner, as its authorized official.

NPPES Registry Identity

NPI1104482504
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameASSURE MEDICAL AT HOME, LLC
Location Address1711 BUENA VISTA RD STE 2Columbus, GA 31906-6141
Mailing Address1711 Buena Vista Rd Ste 2Columbus, GA 31906-6141 · (706) 641-2151 · Fax (706) 641-2171
Fax(706) 641-2171
Organization SubpartNo
Authorized OfficialConchetta PerryOwner · (706) 641-2151
Enumeration DateMay 13, 2019
NPI 1104482504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
1711 BUENA VISTA RD STE 2, Columbus, GA 31906

Other Identifiers 1

Medicaid003193515AGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2144637

Assure Medical Exams · Columbus, GA
Active · expires Feb 20, 2028
CLIA Number11D2144637
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorConchetta Perry
Laboratory Phone(706) 641-2151
Laboratory LocationAssure Medical Exams1711 Buena Vista Road, Suite 2, Columbus, GA 31906
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Assure Medical At Home, LLC's NPI number?

The NPI number for Assure Medical At Home, LLC is 1104482504. It was assigned to this organization in the NPPES registry on May 13, 2019.

Where is Assure Medical At Home, LLC located?

Assure Medical At Home, LLC is located at 1711 Buena Vista Rd Ste 2, Columbus, GA 31906. The listed phone number is (706) 641-2151.

What is Assure Medical At Home, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Assure Medical At Home, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2144637) is associated with this NPI, valid through February 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Assure Medical At Home, LLC was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.