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NPI Code Detail

MEDICARE: INSTITUTE FOR ASPIRE HUMAN DYNAMIC COMMUNITY HEALTHCARE SERVICE

MEDICARE: INSTITUTE FOR ASPIRE HUMAN DYNAMIC COMMUNITY HEALTHCARE SERVICE
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
1163WH0200XHome Health Registered Nurse
22278H0200XHome Health Certified Respiratory Therapist
32279H0200XHome Health Registered Respiratory Therapist
4364SH0200XHome Health Clinical Nurse Specialist
5374U00000XHome Health Aide
6251E00000XHome Health Agency

General Provider Information

NPI Number : 1720811672
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSTITUTE FOR ASPIRE HUMAN DYNAMIC COMMUNITY HEALTHCARE SERVICE
Provider Business Mailing Address
First Line : 3296 HIGHPOINT CT
Second Line :
City : SNELLVILLE
State : GA
Zip : 30078-7401
Country : US
Telephone Number : 478-988-0937
Fax Number : 585-502-1157
Provider Business Practice Location Address
First Line : 2992 W MAIN ST
Second Line :
City : SNELLVILLE
State : GA
Zip : 30078-5764
Country : US
Telephone Number : 478-988-0937
Fax Number : 585-502-1157
Authorized Official
Title or Position : CEO
Name : SHARON A PEART
Credential : PAS, RNS
Telephone Number : 866-926-0035
Provider Enumeration Date : 08/24/2024
Last Update Date : 08/24/2024

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Directions to “INSTITUTE FOR ASPIRE HUMAN DYNAMIC COMMUNITY HEALTHCARE SERVICE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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