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NPI Code Detail

MEDICARE: ASCEND HEALTH CENTER, LLC

MEDICARE: ASCEND HEALTH CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1912470303
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCEND HEALTH CENTER, LLC
Provider Business Mailing Address
First Line : 1000 S CLEVELAND MASSILLON RD STE 1
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-9204
Country : US
Telephone Number : 330-754-4844
Fax Number : 833-974-2062
Provider Business Practice Location Address
First Line : 1000 S CLEVELAND MASSILLON RD STE 1
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-9204
Country : US
Telephone Number : 330-754-4844
Fax Number : 833-974-2062
Authorized Official
Title or Position : CEO
Name : NICHOLAS ANGELIS
Credential : CRNA
Telephone Number : 330-754-4844
Provider Enumeration Date : 01/08/2019
Last Update Date : 04/13/2026

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Directions to “ASCEND HEALTH CENTER, LLC ” Practice Location

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