Provider Demographics
NPI:1386000354
Name:ASPIRE HOME HEALTH SERVICESLLC
Entity Type:Organization
Organization Name:ASPIRE HOME HEALTH SERVICESLLC
Other - Org Name:AHHS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYORINDE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-207-7215
Mailing Address - Street 1:6427 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-1849
Mailing Address - Country:US
Mailing Address - Phone:215-207-7215
Mailing Address - Fax:
Practice Address - Street 1:6427 MARKET ST
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-1849
Practice Address - Country:US
Practice Address - Phone:215-207-7215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA28993601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health