Provider Demographics
NPI:1912132457
Name:ASCENSION SENIOR CARE SERVICES, INC
Entity Type:Organization
Organization Name:ASCENSION SENIOR CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELVIA
Authorized Official - Middle Name:LORENA
Authorized Official - Last Name:LAMONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-577-1136
Mailing Address - Street 1:3430 E SUNRISE DR
Mailing Address - Street 2:SUITE 170
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-3239
Mailing Address - Country:US
Mailing Address - Phone:520-577-1136
Mailing Address - Fax:520-577-5170
Practice Address - Street 1:3430 E SUNRISE DR
Practice Address - Street 2:SUITE 170
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-3239
Practice Address - Country:US
Practice Address - Phone:520-577-1136
Practice Address - Fax:520-577-5170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty