Healthcare Provider Details

I. General information

NPI: 1487573663
Provider Name (Legal Business Name): ASCENSION HOLISTIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 E MAIN ST STE 330
PLAINFIELD IN
46168-2829
US

IV. Provider business mailing address

2680 E MAIN ST STE 330
PLAINFIELD IN
46168-2829
US

V. Phone/Fax

Practice location:
  • Phone: 317-400-4442
  • Fax: 317-742-7214
Mailing address:
  • Phone: 317-400-4442
  • Fax: 317-742-7214

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: MOBOLANLE TITILAYO ADEGUNLE
Title or Position: CEO
Credential: MA
Phone: 630-765-2369