Provider Demographics
NPI:1922244979
Name:ASCEND HEALTHCARE, INC.
Entity Type:Organization
Organization Name:ASCEND HEALTHCARE, INC.
Other - Org Name:HIDDEN ACRES HEALTH CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:H
Authorized Official - Last Name:COWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-537-9052
Mailing Address - Street 1:3000 OLD ALABAMA RD
Mailing Address - Street 2:SUITE 119-149
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5860
Mailing Address - Country:US
Mailing Address - Phone:770-619-0866
Mailing Address - Fax:
Practice Address - Street 1:904 HIDDEN ACRES AVE
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:TN
Practice Address - Zip Code:38474-1039
Practice Address - Country:US
Practice Address - Phone:931-379-5502
Practice Address - Fax:931-379-5504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-22
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility