Provider Demographics
NPI:1154637064
Name:ASCENTIA HOME HEALTH ACQUISITION LLC
Entity Type:Organization
Organization Name:ASCENTIA HOME HEALTH ACQUISITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THADDEUS
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-723-1233
Mailing Address - Street 1:2495 ENTERPRISE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-1795
Mailing Address - Country:US
Mailing Address - Phone:727-723-1233
Mailing Address - Fax:727-723-1455
Practice Address - Street 1:2495 ENTERPRISE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-1795
Practice Address - Country:US
Practice Address - Phone:727-723-1233
Practice Address - Fax:727-723-1455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health