Provider Demographics
NPI:1811501331
Name:ASCELLAHEALTH LLC
Entity type:Organization
Organization Name:ASCELLAHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPOLONGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-724-0877
Mailing Address - Street 1:1055 WESTLAKES DR STE 175
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19312-2419
Mailing Address - Country:US
Mailing Address - Phone:877-389-9040
Mailing Address - Fax:
Practice Address - Street 1:1055 WESTLAKES DR STE 175
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:PA
Practice Address - Zip Code:19312-2419
Practice Address - Country:US
Practice Address - Phone:610-724-0877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management