Provider Demographics
NPI:1336884311
Name:ASCEND HOSPICE CARE LLC
Entity type:Organization
Organization Name:ASCEND HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:DONNICE
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:918-701-2606
Mailing Address - Street 1:6312 E 101ST ST STE B
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-7007
Mailing Address - Country:US
Mailing Address - Phone:918-701-2606
Mailing Address - Fax:918-701-2607
Practice Address - Street 1:6312 E 101ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-7007
Practice Address - Country:US
Practice Address - Phone:918-701-2606
Practice Address - Fax:918-701-2607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKH04323OtherASCEND HOSPICE LICENSE