Provider Demographics
NPI:1942988134
Name:ASPIRIA ADULT RESIDENCES LLC
Entity Type:Organization
Organization Name:ASPIRIA ADULT RESIDENCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEYNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-672-8439
Mailing Address - Street 1:342 W PALM DR
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-8239
Mailing Address - Country:US
Mailing Address - Phone:626-899-7782
Mailing Address - Fax:
Practice Address - Street 1:342 W PALM DR
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-8239
Practice Address - Country:US
Practice Address - Phone:626-461-5229
Practice Address - Fax:626-348-8841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility