Provider Demographics
NPI:1114543626
Name:ASPIRE HOME CARING INC
Entity Type:Organization
Organization Name:ASPIRE HOME CARING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/ ADM
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:AUDRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-360-4838
Mailing Address - Street 1:7136 S MILITARY TRL STE 4
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-7812
Mailing Address - Country:US
Mailing Address - Phone:561-805-3835
Mailing Address - Fax:561-805-3768
Practice Address - Street 1:7136 S MILITARY TRL STE 4
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-7812
Practice Address - Country:US
Practice Address - Phone:561-805-3835
Practice Address - Fax:561-805-3768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-20
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL113029100Medicaid