Provider Demographics
NPI:1205399755
Name:ASCENTIA HEALTHCARE LLC
Entity Type:Organization
Organization Name:ASCENTIA HEALTHCARE LLC
Other - Org Name:ASCENTIA HEALTHCARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IRETI
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-786-4880
Mailing Address - Street 1:1846 SNAKE RIVER RD STE B
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-7758
Mailing Address - Country:US
Mailing Address - Phone:281-786-4880
Mailing Address - Fax:
Practice Address - Street 1:24707 MALCA MANOR DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2561
Practice Address - Country:US
Practice Address - Phone:281-687-0698
Practice Address - Fax:281-786-2084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management