MEDICARE: ASCENSIA HOME HEALTH, INC.

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	251E00000X	Home Health Agency	010297	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902986110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCENSIA HOME HEALTH, INC.

Provider Business Mailing Address
First Line	:	1633 W KINGS HWY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-5004
Country	:	US
Telephone Number	:	210-521-0575
Fax Number	:	210-521-0574

Provider Business Practice Location Address
First Line	:	1633 W KINGS HWY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78201-5004
Country	:	US
Telephone Number	:	210-521-0575
Fax Number	:	210-521-0574

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. ADRIANA MARIE BROWN
Credential	:
Telephone Number	:	210-521-0575

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	07/27/2020

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Directions to “ASCENSIA HOME HEALTH, INC. ” Practice Location

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