Provider Demographics
NPI:1427700574
Name:ASCENT HOSPICE LLC
Entity type:Organization
Organization Name:ASCENT HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-403-7917
Mailing Address - Street 1:1930 EDISON RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-1711
Mailing Address - Country:US
Mailing Address - Phone:574-213-2727
Mailing Address - Fax:
Practice Address - Street 1:1930 EDISON RD
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46617-1711
Practice Address - Country:US
Practice Address - Phone:574-213-2727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based