Provider Demographics
NPI:1922359819
Name:ASPIRE
Entity Type:Organization
Organization Name:ASPIRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:T
Authorized Official - Last Name:GRIFFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-982-1295
Mailing Address - Street 1:76 MARIA LN
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-3557
Mailing Address - Country:US
Mailing Address - Phone:716-982-1295
Mailing Address - Fax:
Practice Address - Street 1:76 MARIA LN
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-3557
Practice Address - Country:US
Practice Address - Phone:716-982-1295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5778243140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric