Ascent Health Services LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

ASCENT HEALTH SERVICES LLC

Doing business as

Bridge Dialysis

Practice address

1213 Flint Meadow Dr Ste 1C
Kaysville, UT 84037-6833

Phone

(385) 420-7500

NPI assigned

Nov 9, 2018

Organization subpart

No

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

Authorized official

Name

Tangina R Edwards

Title

Licensing Manager

Phone

(469) 636-5055

Specialties & licenses 1

Addresses

Other names 1

• Bridge Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Listed as

462553-Bridge DialysisCCN 462553

Ownership

Profit

Certified

Jun 12, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

14

Locations

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Amandeep Singh Chadha, MD

  • Nephrology Physician
  • Ogden, UT
  • NPI 1881635845

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1750859583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29222 RANCHO VIEJO RD STE 127",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751049",
            "telephone_number": "949-426-3767",
            "fax_number": "949-540-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 FLINT MEADOW DR STE 1C",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840376833",
            "telephone_number": "385-420-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENT HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TANGINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICENSING MANAGER",
        "authorized_official_telephone_number": "469-636-5055"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Anderson, PHARMD
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• Jason D Atkinson, D.C.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Kaysville, UT
• Providers in Kaysville, UT by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.