Healthcare Provider Details

I. General information

NPI: 1194677906
Provider Name (Legal Business Name): ASCENSION HEALTHCARE SERVICES - EAST BAY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2655 STANWELL DR STE 102
CONCORD CA
94520-4814
US

IV. Provider business mailing address

3941 PARK DR STE 20-365
EL DORADO HILLS CA
95762-4549
US

V. Phone/Fax

Practice location:
  • Phone: 925-400-9884
  • Fax: 925-400-9883
Mailing address:
  • Phone: 925-400-9884
  • Fax: 925-400-9883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE MARIE KAHLER
Title or Position: MANAGING PARTNER
Credential:
Phone: 925-785-7027