Organization Active NPI

Ascend Home Care, LLC

  • Home Health Agency
  • Sunnyvale, TX
National Provider Identifier
1720121080
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009163 Issued in TX
Legal business name
ASCEND HOME CARE, LLC
Practice address
2611 N Belt Line Rd
Suite 105
Sunnyvale, TX 75182-9301
Phone
(972) 226-5884
Fax
(972) 203-8776
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mathew Thottapuram
Title
President
Phone
(972) 226-5884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009163 TX Primary

Addresses

Primary practice location

2611 N Belt Line Rd
Suite 105
Sunnyvale, TX 75182-9301

Mailing address

2611 N Belt Line Rd
Suite 105
Sunnyvale, TX 75182-9301
Phone (972) 226-5884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701000510 TX Part A Provider - Home Health Agency 6507843265 Practice locations: Sunnyvale, TX

Home health agency certification: CCN 673192

Legal name
ASCEND HOME CARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 29, 2005
Last certification
Aug 26, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 5, 2004 in TX
Enrollment address
2611 North Beltline Rd
Ste 105
Sunnyvale, TX 75182-9356

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ascend Home Care LLCCCN 673192
Ownership
Proprietary
Certified
Mar 29, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1025895Ascend Home Care LLC2611 N Beltline Road, Suite 105, Sunnyvale, TX 75182Certificate of waiverMay 19, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Molly Mathew Individual 5% Or Greater Direct Ownership Interest Apr 5, 2004
Corporate Director Jul 1, 2004
W-2 Managing Employee Apr 5, 2004
Mathew Thottapuram Individual 5% Or Greater Direct Ownership Interest Apr 5, 2004
W-2 Managing Employee Apr 5, 2004

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1720121080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 N BELT LINE RD",
            "address_2": "SUITE 105",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829301",
            "telephone_number": "972-226-5884",
            "fax_number": "972-203-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 N BELT LINE RD",
            "address_2": "SUITE 105",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829301",
            "telephone_number": "972-226-5884",
            "fax_number": "972-203-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "THOTTAPURAM",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-226-5884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

Verify at the official NPI Registry.