Healthcare Provider Details
I. General information
NPI: 1093670192
Provider Name (Legal Business Name): ASCEND SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7533 S CENTER VIEW CT # 5503
WEST JORDAN UT
84084-5526
US
IV. Provider business mailing address
7533 S CENTER VIEW CT # 5503
WEST JORDAN UT
84084-5526
US
V. Phone/Fax
- Phone: 360-481-3490
- Fax:
- Phone: 360-481-3490
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
A
GORSKI
JR.
Title or Position: OWNER
Credential:
Phone: 360-481-3490