Healthcare Provider Details

I. General information

NPI: 1770497380
Provider Name (Legal Business Name): ASCEND RENAL CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7914 N SHADELAND AVE STE 100
INDIANAPOLIS IN
46250-2060
US

IV. Provider business mailing address

7914 N SHADELAND AVE STE 100
INDIANAPOLIS IN
46250-2060
US

V. Phone/Fax

Practice location:
  • Phone: 317-400-4826
  • Fax:
Mailing address:
  • Phone: 317-400-4826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRIA COVINGTON
Title or Position: CEO
Credential:
Phone: 317-979-2696