Provider Demographics
NPI:1740093319
Name:ASPIRE COMMUNITY LIVING
Entity type:Organization
Organization Name:ASPIRE COMMUNITY LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:SUEANN
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:312-468-1433
Mailing Address - Street 1:6065 HILLCROFT ST STE 610
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-1103
Mailing Address - Country:US
Mailing Address - Phone:832-819-4423
Mailing Address - Fax:
Practice Address - Street 1:1875 POST OAK PARK DR APT 626
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3469
Practice Address - Country:US
Practice Address - Phone:312-468-1433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities