Healthcare Provider Details
I. General information
NPI: 1609790153
Provider Name (Legal Business Name): ASCEND COMMUNITY SUPPORTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8388 N ANN ST
MILWAUKEE WI
53224-2757
US
IV. Provider business mailing address
8388 N ANN ST
MILWAUKEE WI
53224-2757
US
V. Phone/Fax
- Phone: 414-722-6038
- Fax:
- Phone: 414-722-6038
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALLISHA
N
CRAWFORD
Title or Position: OWNER
Credential:
Phone: 414-722-6038