Provider Demographics
NPI:1356939854
Name:ASPIRE HEALTH INC
Entity type:Organization
Organization Name:ASPIRE HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:MANANSALA
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-220-1499
Mailing Address - Street 1:2720 S RIVER RD STE 233
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4106
Mailing Address - Country:US
Mailing Address - Phone:224-580-2011
Mailing Address - Fax:224-580-2012
Practice Address - Street 1:2720 S RIVER RD STE 233
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4106
Practice Address - Country:US
Practice Address - Phone:224-580-2011
Practice Address - Fax:224-580-2012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-09
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2003198OtherIDPH