Provider Demographics
NPI:1801225974
Name:ASCENTIAL CARE PARTNERS, LLC
Entity Type:Organization
Organization Name:ASCENTIAL CARE PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MANGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITEHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, CCM
Authorized Official - Phone:859-685-1047
Mailing Address - Street 1:333 WEST VINE STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40507-1626
Mailing Address - Country:US
Mailing Address - Phone:859-685-1047
Mailing Address - Fax:859-685-1059
Practice Address - Street 1:333 WEST VINE STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1626
Practice Address - Country:US
Practice Address - Phone:859-685-1047
Practice Address - Fax:859-685-1059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty