Provider Demographics
NPI:1407626765
Name:ASCENSION ASSISTED CARE
Entity Type:Organization
Organization Name:ASCENSION ASSISTED CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:NAIMAN
Authorized Official - Last Name:ULOMI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-677-4136
Mailing Address - Street 1:7511 BASSWOOD FOREST CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-4311
Mailing Address - Country:US
Mailing Address - Phone:832-677-4136
Mailing Address - Fax:
Practice Address - Street 1:7511 BASSWOOD FOREST CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-4311
Practice Address - Country:US
Practice Address - Phone:832-677-4136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities