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NPI Code Detail

MEDICARE: ASCEND HOMECARE, LLC

MEDICARE: ASCEND HOMECARE, 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
1163W00000XRegistered Nurse
2163WH0200XHome Health Registered Nurse
3163WW0000XWound Care Registered Nurse
4164W00000XLicensed Practical Nurse
5251J00000XNursing Care Agency
6372600000XAdult Companion
73747P1801XPersonal Care Attendant
8374U00000XHome Health Aide
9376J00000XHomemaker
10376K00000XNurse's Aide
11251E00000XHome Health Agency

General Provider Information

NPI Number : 1205103496
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCEND HOMECARE, LLC
Provider Business Mailing Address
First Line : 1311 N WESTSHORE BLVD
Second Line : SUITE # 200
City : TAMPA
State : FL
Zip : 33607-4602
Country : US
Telephone Number : 813-282-8957
Fax Number : 813-286-2679
Provider Business Practice Location Address
First Line : 1311 N WESTSHORE BLVD
Second Line : SUITE 200
City : TAMPA
State : FL
Zip : 33607-4602
Country : US
Telephone Number : 813-282-8957
Fax Number : 813-286-2679
Authorized Official
Title or Position : PRESIDENT
Name : CLARA E CORTINA
Credential :
Telephone Number : 813-282-8957
Provider Enumeration Date : 11/16/2011
Last Update Date : 12/13/2011

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Directions to “ASCEND HOMECARE, LLC ” Practice Location

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