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NPI Code Detail

MEDICARE: ASCEND HOSPICE CARE LLC

MEDICARE: ASCEND HOSPICE CARE 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
1251G00000XCommunity Based Hospice Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H04323OTHEROKASCEND HOSPICE LICENSE

General Provider Information

NPI Number : 1336884311
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCEND HOSPICE CARE LLC
Provider Business Mailing Address
First Line : 6312 E 101ST ST STE B
Second Line :
City : TULSA
State : OK
Zip : 74137-7007
Country : US
Telephone Number : 918-701-2606
Fax Number : 918-701-2607
Provider Business Practice Location Address
First Line : 6312 E 101ST ST
Second Line :
City : TULSA
State : OK
Zip : 74137-7007
Country : US
Telephone Number : 918-701-2606
Fax Number : 918-701-2607
Authorized Official
Title or Position : OWNER
Name : MRS. LAURA DONNICE DANIELS
Credential : RN
Telephone Number : 918-701-2606
Provider Enumeration Date : 05/03/2022
Last Update Date : 10/28/2022

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Directions to “ASCEND HOSPICE CARE LLC ” Practice Location

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