Provider Demographics
NPI:1639483738
Name:ASCEND HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:ASCEND HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPILLERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:318-398-8190
Mailing Address - Street 1:4404 OLD STERLINGTON RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2456
Mailing Address - Country:US
Mailing Address - Phone:318-398-8190
Mailing Address - Fax:318-398-8193
Practice Address - Street 1:4404 OLD STERLINGTON RD STE 102
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-2456
Practice Address - Country:US
Practice Address - Phone:318-398-8190
Practice Address - Fax:318-398-8193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2188003Medicaid
191675Medicare Oscar/Certification