MEDICARE: ASCEND LIFE STRATEGIES 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	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1639037500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCEND LIFE STRATEGIES LLC

Provider Business Mailing Address
First Line	:	32455 W 12 MILE RD UNIT 2063
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48333-7102
Country	:	US
Telephone Number	:	248-301-1221
Fax Number	:

Provider Business Practice Location Address
First Line	:	32455 W 12 MILE RD UNIT 2063
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48333-7102
Country	:	US
Telephone Number	:	248-301-1221
Fax Number	:

Authorized Official
Title or Position	:	ISC
Name	:	WAJAHAT KHAN
Credential	:
Telephone Number	:	248-301-1221

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	02/11/2026

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Directions to “ASCEND LIFE STRATEGIES LLC ” Practice Location

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