MEDICARE: ASCEND HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility
2	3245S0500X	Children's Substance Abuse Rehabilitation Facility
3	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1912615006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCEND HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	4346 EMPRESS AVE
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91436-3507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15659 KNOCHAVEN ST
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91387-4736
Country	:	US
Telephone Number	:	800-646-1202
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	JOSEPH ESSAS
Credential	:
Telephone Number	:	310-435-5509

Provider Enumeration Date	:	11/08/2022
Last Update Date	:	11/08/2022

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Directions to “ASCEND HEALTHCARE LLC ” Practice Location

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