| Assured Hope Community Health Llc | |
|
6 Boston Rd Ste 201 Chelmsford MA 01824-3075 | |
| (978) 677-6354 | |
| (978) 677-6456 |
| Full Name | Assured Hope Community Health Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 6 Boston Rd Ste 201, Chelmsford, Massachusetts |
| Authorized Official Name and Position | George Mugerwa (CO-OWNER) |
| Authorized Official Contact | 6173650224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assured Hope Community Health Llc 6 Boston Rd Ste 201 Chelmsford MA 01824-3075 Ph: (978) 677-6354 | Assured Hope Community Health Llc 6 Boston Rd Ste 201 Chelmsford MA 01824-3075 Ph: (978) 677-6354 |
| NPI Number | 1548933294 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Medicare PECOS PAC ID | 5092119529 |
|---|---|
| Medicare Enrollment ID | O20210805002761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548933294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Susan Tibeijuka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821271198 PECOS PAC ID: 7719316363 Enrollment ID: I20200401002890 |
| Provider Name | Henry Kaggwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578107959 PECOS PAC ID: 7214338656 Enrollment ID: I20210623001826 |
| Provider Name | Juliet Kyotowadde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780324202 PECOS PAC ID: 4789065442 Enrollment ID: I20220713001364 |
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