Healthcare Provider Details

I. General information

NPI: 1780594804
Provider Name (Legal Business Name): ACT ASCENSION CARE TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PLACE STE R
ATLANTA GA
30350
US

IV. Provider business mailing address

8735 DUNWOODY PLACE STE R
ATLANTA GA
30350
US

V. Phone/Fax

Practice location:
  • Phone: 678-902-3771
  • Fax:
Mailing address:
  • Phone: 678-902-3771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: CHASITY ARNOLD
Title or Position: OWNER
Credential: MS
Phone: 678-902-3771