Provider Demographics
NPI:1841760303
Name:ASCENSION HOME HEALTH CARE
Entity Type:Organization
Organization Name:ASCENSION HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-977-4080
Mailing Address - Street 1:8201 MOLL LANE
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:MI
Mailing Address - Zip Code:48623
Mailing Address - Country:US
Mailing Address - Phone:517-997-4080
Mailing Address - Fax:517-657-4624
Practice Address - Street 1:8201 MOLL LANE
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:MI
Practice Address - Zip Code:48623
Practice Address - Country:US
Practice Address - Phone:517-997-4080
Practice Address - Fax:517-657-4624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-27
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health