Provider Demographics
NPI:1942573993
Name:ASPIRE HOME HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:ASPIRE HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACKBURN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-738-1176
Mailing Address - Street 1:306 REICHELDERFER RD
Mailing Address - Street 2:
Mailing Address - City:CRIDERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45806-2252
Mailing Address - Country:US
Mailing Address - Phone:419-738-1176
Mailing Address - Fax:419-738-1173
Practice Address - Street 1:306 REICHELDERFER RD
Practice Address - Street 2:
Practice Address - City:CRIDERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:45806-2252
Practice Address - Country:US
Practice Address - Phone:419-738-1176
Practice Address - Fax:419-738-1173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH354393621OtherPASSPORT SERVICES
OH0104054Medicaid
OH0600844OtherDODD CONTRACT NUMBER
OH0081047Medicaid