MEDICARE: ASANA PALLIATIVE CLEVELAND 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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1407313018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASANA PALLIATIVE CLEVELAND LLC

Provider Business Mailing Address
First Line	:	3854 AMERICAN WAY STE A
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4897
Country	:	US
Telephone Number	:	225-292-2031
Fax Number	:	225-295-9678

Provider Business Practice Location Address
First Line	:	41 BRIGGS DR UNIT 3
Second Line	:
City	:	ONTARIO
State	:	OH
Zip	:	44906-3805
Country	:	US
Telephone Number	:	877-202-2869
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	JOSHUA L PROFFITT
Credential	:
Telephone Number	:	617-639-4092

Provider Enumeration Date	:	03/01/2019
Last Update Date	:	05/11/2026

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