MEDICARE: ASCEND SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1093670192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCEND SERVICES LLC

Provider Business Mailing Address
First Line	:	7533 S CENTER VIEW CT # 5503
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84084-5526
Country	:	US
Telephone Number	:	360-481-3490
Fax Number	:

Provider Business Practice Location Address
First Line	:	7533 S CENTER VIEW CT # 5503
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84084-5526
Country	:	US
Telephone Number	:	360-481-3490
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT A GORSKI JR.
Credential	:
Telephone Number	:	360-481-3490

Provider Enumeration Date	:	12/20/2025
Last Update Date	:	12/20/2025

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