MEDICARE: ASPIRE HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1700506052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPIRE HOME CARE LLC

Provider Business Mailing Address
First Line	:	14852 BELL MANOR CT
Second Line	:
City	:	BALCH SPRINGS
State	:	TX
Zip	:	75180-4327
Country	:	US
Telephone Number	:	214-554-3989
Fax Number	:

Provider Business Practice Location Address
First Line	:	14852 BELL MANOR CT
Second Line	:
City	:	BALCH SPRINGS
State	:	TX
Zip	:	75180-4327
Country	:	US
Telephone Number	:	214-554-3989
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	OLIVIA KAMGANG
Credential	:
Telephone Number	:	214-554-3989

Provider Enumeration Date	:	08/29/2022
Last Update Date	:	08/29/2022

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Directions to “ASPIRE HOME CARE LLC ” Practice Location

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