Provider Demographics
NPI:1962091462
Name:ASCENT HOMES, LLC
Entity type:Organization
Organization Name:ASCENT HOMES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SEBASTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-600-6435
Mailing Address - Street 1:7217 LOCKPORT PL STE 102A
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-1596
Mailing Address - Country:US
Mailing Address - Phone:202-600-6435
Mailing Address - Fax:866-854-1333
Practice Address - Street 1:7217 LOCKPORT PL STE 102A
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-1596
Practice Address - Country:US
Practice Address - Phone:202-600-6435
Practice Address - Fax:866-854-1333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health