Provider Demographics
NPI:1609002120
Name:ASPIRE HOSPICE CARE, INC
Entity Type:Organization
Organization Name:ASPIRE HOSPICE CARE, 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:84123-8017
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:2009-06-10
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1609002120Medicaid
461580Medicare Oscar/Certification