Provider Demographics
NPI:1689416497
Name:ASCALAPHUS ASSETS LLC
Entity type:Organization
Organization Name:ASCALAPHUS ASSETS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:DILWICIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-513-3975
Mailing Address - Street 1:604 GALLATIN AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-3490
Mailing Address - Country:US
Mailing Address - Phone:615-610-2618
Mailing Address - Fax:
Practice Address - Street 1:604 GALLATIN AVE STE 110
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3490
Practice Address - Country:US
Practice Address - Phone:615-610-2618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care