Provider Demographics
NPI:1023846797
Name:ASPIRE COMMUNITY CARE LLC
Entity type:Organization
Organization Name:ASPIRE COMMUNITY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUSAB
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDULKADIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-250-2486
Mailing Address - Street 1:455 MINNESOTA ST
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101
Mailing Address - Country:US
Mailing Address - Phone:612-250-2486
Mailing Address - Fax:
Practice Address - Street 1:455 MINNESOTA ST
Practice Address - Street 2:SUITE 1500
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-4621
Practice Address - Country:US
Practice Address - Phone:612-250-2486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center