Healthcare Provider Details

I. General information

NPI: 1184539694
Provider Name (Legal Business Name): ASCEND LIVING HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 WAVERLY PLACE LN APT F1
NORTH CHARLESTON SC
29418-2018
US

IV. Provider business mailing address

10814 DORCHESTER RD
SUMMERVILLE SC
29485-6001
US

V. Phone/Fax

Practice location:
  • Phone: 843-834-4790
  • Fax:
Mailing address:
  • Phone:
  • 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: LASHUNDRA GREEN
Title or Position: MANAGING MEMBER
Credential:
Phone: 843-834-4790