Provider Demographics
NPI:1265033971
Name:ASCEND HEALTHCARE LLC
Entity Type:Organization
Organization Name:ASCEND HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-435-5509
Mailing Address - Street 1:4346 EMPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-3507
Mailing Address - Country:US
Mailing Address - Phone:310-435-5509
Mailing Address - Fax:
Practice Address - Street 1:26634 IRON CANYON RD
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91387-4811
Practice Address - Country:US
Practice Address - Phone:310-359-9403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness