Provider Demographics
NPI:1942757745
Name:ASPIRE CARE SERVICES
Entity Type:Organization
Organization Name:ASPIRE CARE SERVICES
Other - Org Name:ASPIRE COMFORT HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOMINIC
Authorized Official - Middle Name:
Authorized Official - Last Name:IRABOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-334-2100
Mailing Address - Street 1:245 MARIE AVE E STE 103
Mailing Address - Street 2:
Mailing Address - City:WEST ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118-4170
Mailing Address - Country:US
Mailing Address - Phone:651-705-5980
Mailing Address - Fax:651-433-7121
Practice Address - Street 1:245 MARIE AVE E STE 103
Practice Address - Street 2:
Practice Address - City:WEST ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-4170
Practice Address - Country:US
Practice Address - Phone:651-705-5980
Practice Address - Fax:651-433-7121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN378342251E00000X, 251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care