Provider Demographics
NPI:1952588717
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:ADMINISTRATOR PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELVIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAMONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-577-1136
Mailing Address - Street 1:2504 E RIVER RD
Mailing Address - Street 2:SUITE #100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-9555
Mailing Address - Country:US
Mailing Address - Phone:520-577-1136
Mailing Address - Fax:520-577-5170
Practice Address - Street 1:2504 E RIVER RD
Practice Address - Street 2:SUITE #100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-9555
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:2008-01-23
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA 4632251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health