MEDICARE: ASCENDING ANGELS HEALTH SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	374J00000X	Doula
2	385HR2050X	Respite Care Camp
3	385HR2055X	Child Mental Illness Respite Care
4	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
5	385HR2065X	Child Physical Disabilities Respite Care
6	385H00000X	Respite Care

General Provider Information

NPI Number	:	1952234767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCENDING ANGELS HEALTH SERVICES

Provider Business Mailing Address
First Line	:	3104 E CAMELBACK RD STE 2441
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4502
Country	:	US
Telephone Number	:	602-888-3341
Fax Number	:

Provider Business Practice Location Address
First Line	:	17500 N 67TH AVE #1053
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308
Country	:	US
Telephone Number	:	602-888-3341
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	LIZZEL LUCAS
Credential	:	RN
Telephone Number	:	414-813-2943

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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