1821033903 NPI number — ASPIRE HEALTH PARTNERS, INC.

Table of content: (NPI 1821033903)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821033903 NPI number — ASPIRE HEALTH PARTNERS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASPIRE HEALTH PARTNERS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821033903
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/09/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5151 ADANSON ST STE 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32804-1330
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-875-3700
Provider Business Mailing Address Fax Number:
407-623-1037

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1800 MERCY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32808-5646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-875-3700
Provider Business Practice Location Address Fax Number:
407-522-4671
Provider Enumeration Date:
06/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DAMM
Authorized Official First Name:
LINDA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
407-875-3700

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 283Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 011168001 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 060379116 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 011168002 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 012380700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 060379100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 012188900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108981200 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 763232100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 011837700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 011030400 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 011030401 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 060379101 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 060379105 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 060379106 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 011116800 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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