Provider Demographics
NPI:1467528885
Name:ASCENTIA HOME HEALTH CARE
Entity Type:Organization
Organization Name:ASCENTIA HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-723-1233
Mailing Address - Street 1:2801 W BUSCH BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-4500
Mailing Address - Country:US
Mailing Address - Phone:813-228-0901
Mailing Address - Fax:813-933-3222
Practice Address - Street 1:2801 W BUSCH BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-4500
Practice Address - Country:US
Practice Address - Phone:813-228-0901
Practice Address - Fax:813-933-3222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health