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1629924196 NPI number — ASCENSION HOME CARE LLC

NPI Number: 1629924196
Health Care Provider/Practitioner: ASCENSION HOME CARE LLC

Information about “1629924196” NPI (ASCENSION HOME CARE LLC) exists in 1629924196 in HTML format HTML  |  1629924196 in plain Text format TXT  |  1629924196 in PDF (Portable Document Format) PDF  |  1629924196 in an XML format XML  formats.

NPI Number : 1629924196 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629924196",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ASCENSION HOME CARE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2145 BURNS VIEW LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAWRENCEVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30044-7705",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "762-578-5913",
    "MailingAddressFaxNumber": "762-578-5913",
    "FirstLinePracticeLocationAddress": "2145 BURNS VIEW LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAWRENCEVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30044-7705",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "762-578-5913",
    "PracticeLocationAddressFaxNumber": "762-578-5913",
    "EnumerationDate": "03/07/2026",
    "LastUpdateDate": "03/07/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OCHONOGOR",
    "AuthorizedOfficialFirstName": "ELUEMUNOR N",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "762-578-5913",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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