=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487573663
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASCENSION HOLISTIC CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2026
-----------------------------------------------------
Last Update Date | 07/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2680 E MAIN ST STE 330
-----------------------------------------------------
City | PLAINFIELD
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46168-2829
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-400-4442
-----------------------------------------------------
Fax | 317-742-7214
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2680 E MAIN ST STE 330
-----------------------------------------------------
City | PLAINFIELD
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46168-2829
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-400-4442
-----------------------------------------------------
Fax | 317-742-7214
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MOBOLANLE TITILAYO ADEGUNLE
-----------------------------------------------------
Credential | MA
-----------------------------------------------------
Telephone | 630-765-2369
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------