Provider Demographics
NPI:1437854288
Name:ASPIRING LIVING SERVICES
Entity Type:Organization
Organization Name:ASPIRING LIVING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COFOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:LANETRA
Authorized Official - Middle Name:
Authorized Official - Last Name:EBRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-921-9237
Mailing Address - Street 1:205 WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:ROEBUCK
Mailing Address - State:SC
Mailing Address - Zip Code:29376-3429
Mailing Address - Country:US
Mailing Address - Phone:864-921-9237
Mailing Address - Fax:
Practice Address - Street 1:115 WESTHAVEN CT
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-5539
Practice Address - Country:US
Practice Address - Phone:864-436-2423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASPIRE LIVING SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization