Healthcare Provider Details

I. General information

NPI: 1982350427
Provider Name (Legal Business Name): ASCENSION HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2022
Last Update Date: 02/23/2022
Certification Date: 02/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6263 N SCOTTSDALE RD STE 138
SCOTTSDALE AZ
85250
US

IV. Provider business mailing address

6263 N SCOTTSDALE BLVD. STE 138
SCOTTSDALE AZ
85250
US

V. Phone/Fax

Practice location:
  • Phone: 602-789-0925
  • Fax: 623-259-6416
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: LINDA MICHELSON
Title or Position: CEO
Credential: M.D.
Phone: 917-499-1051