Provider Demographics
NPI:1174010581
Name:ASANA HOSPICE CLEVELAND, LLC
Entity Type:Organization
Organization Name:ASANA HOSPICE CLEVELAND, LLC
Other - Org Name:ASANA HOSPICE AND PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GLICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-647-1536
Mailing Address - Street 1:360 HAMILTON AVE STE 1110
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-1811
Mailing Address - Country:US
Mailing Address - Phone:917-647-1536
Mailing Address - Fax:
Practice Address - Street 1:885 W BAGLEY RD
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:OH
Practice Address - Zip Code:44017-2903
Practice Address - Country:US
Practice Address - Phone:440-835-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-20
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based