Provider Demographics
NPI:1346471463
Name:ASPIRE HOME HEALTH INC
Entity Type:Organization
Organization Name:ASPIRE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:MOSLEY
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-292-0296
Mailing Address - Street 1:1020 WEST ATHERTON DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84123-8017
Mailing Address - Country:US
Mailing Address - Phone:801-292-0296
Mailing Address - Fax:801-294-5601
Practice Address - Street 1:1020 WEST ATHERTON DR
Practice Address - Street 2:SUITE 220
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84123
Practice Address - Country:US
Practice Address - Phone:801-292-0296
Practice Address - Fax:801-294-5601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
467314Medicare Oscar/Certification