Provider Demographics
NPI:1457179897
Name:ASPEN CARE SERVICES LLC
Entity type:Organization
Organization Name:ASPEN CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SULEBAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-999-5829
Mailing Address - Street 1:PO BOX 8093
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-0093
Mailing Address - Country:US
Mailing Address - Phone:612-999-5829
Mailing Address - Fax:
Practice Address - Street 1:41 HUTCHINS DR, BUILDING 3 1ST AND 2ND FLOOR STE UL-06
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102
Practice Address - Country:US
Practice Address - Phone:612-999-5829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care