Provider Demographics
NPI:1164969770
Name:ASCENDA CARE INC
Entity Type:Organization
Organization Name:ASCENDA CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:267-235-3722
Mailing Address - Street 1:1706 N 2ND ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-3110
Mailing Address - Country:US
Mailing Address - Phone:215-634-8000
Mailing Address - Fax:215-634-8002
Practice Address - Street 1:1706 N 2ND ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-3110
Practice Address - Country:US
Practice Address - Phone:215-634-8000
Practice Address - Fax:215-634-8002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-21
Last Update Date:2017-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health