Provider Demographics
NPI:1780065573
Name:ASCEND THERAPY SERVICES INC
Entity type:Organization
Organization Name:ASCEND THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:720-384-7837
Mailing Address - Street 1:12200 E BRIARWOOD AVE UNIT 294
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6702
Mailing Address - Country:US
Mailing Address - Phone:720-384-7837
Mailing Address - Fax:
Practice Address - Street 1:12200 E BRIARWOOD AVE UNIT 294
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-6702
Practice Address - Country:US
Practice Address - Phone:720-384-7837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6017251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO76682218Medicaid
CO52055841Medicaid