Provider Demographics
NPI:1346663903
Name:ASPIRE CASE MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:ASPIRE CASE MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-577-0722
Mailing Address - Street 1:PO BOX 2836
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82602-2836
Mailing Address - Country:US
Mailing Address - Phone:307-277-3157
Mailing Address - Fax:
Practice Address - Street 1:123 W 1ST ST # 700B
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2481
Practice Address - Country:US
Practice Address - Phone:307-577-0722
Practice Address - Fax:307-577-4256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management