Provider Demographics
NPI:1972172120
Name:ASPIRE HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:ASPIRE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-287-9811
Mailing Address - Street 1:149 S RIDGEWOOD AVE STE 300A
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32114-4386
Mailing Address - Country:US
Mailing Address - Phone:386-310-8955
Mailing Address - Fax:877-760-0670
Practice Address - Street 1:149 S RIDGEWOOD AVE STE 300A
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-4386
Practice Address - Country:US
Practice Address - Phone:386-310-8955
Practice Address - Fax:800-803-7647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy