Provider Demographics
NPI:1821370271
Name:ASCENTIA HEALTHCARE INCORPORATED
Entity Type:Organization
Organization Name:ASCENTIA HEALTHCARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:ORONSAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-690-9978
Mailing Address - Street 1:PO BOX 796337
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75379-6337
Mailing Address - Country:US
Mailing Address - Phone:214-690-9978
Mailing Address - Fax:972-432-7559
Practice Address - Street 1:14255 PRESTON RD APT 1027
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-8538
Practice Address - Country:US
Practice Address - Phone:214-690-9978
Practice Address - Fax:972-432-7559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health