Healthcare Provider Details

I. General information

NPI: 1720922321
Provider Name (Legal Business Name): ASCENSION HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 E CAMELBACK RD STE 400
PHOENIX AZ
85016-3514
US

IV. Provider business mailing address

2325 E CAMELBACK RD STE 400
PHOENIX AZ
85016-3514
US

V. Phone/Fax

Practice location:
  • Phone: 480-359-5899
  • Fax:
Mailing address:
  • Phone: 480-359-5899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRIDGETT PIERRE-NED
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 903-714-1743