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NPI Code Detail

MEDICARE: INSTITUTE FOR ASPIRE HUMAN DYNAMIC COMMUNITY HEALTHCARE SERVICES

MEDICARE: INSTITUTE FOR ASPIRE HUMAN DYNAMIC COMMUNITY HEALTHCARE SERVICES
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
1251S00000XCommunity/Behavioral Health Agency067-R-1315GA
2251F00000XHome Infusion Agency
3251B00000XCase Management Agency
4253Z00000XIn Home Supportive Care Agency
5163WH0200XHome Health Registered Nurse
6253Z00000XIn Home Supportive Care Agency067-R-1315GA
7332BP3500XParenteral & Enteral Nutrition Supplies (DME)
8332B00000XDurable Medical Equipment & Medical Supplies
9332BC3200XCustomized Equipment (DME)
10332BX2000XOxygen Equipment & Supplies (DME)
11320600000XIntellectual and/or Developmental Disabilities Residential Treatment FacilityGA
12251E00000XHome Health AgencyGA
13251J00000XNursing Care Agency067-R-1315GA
143140N1450XPediatric Skilled Nursing Facility
15251E00000XHome Health Agency

General Provider Information

NPI Number : 1740692748
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSTITUTE FOR ASPIRE HUMAN DYNAMIC COMMUNITY HEALTHCARE SERVICES
Provider Business Mailing Address
First Line : 3296 HIGHPOINT CT
Second Line :
City : SNELLVILLE
State : GA
Zip : 30078-7401
Country : US
Telephone Number : 719-517-6905
Fax Number : 844-269-7068
Provider Business Practice Location Address
First Line : 203 S 2ND ST
Second Line :
City : LARAMIE
State : WY
Zip : 82070-3610
Country : US
Telephone Number : 866-926-0035
Fax Number : 585-502-1157
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : MISS SHARON PEART
Credential : PRIVATE DUTY NURSING
Telephone Number : 866-926-0035
Provider Enumeration Date : 05/24/2014
Last Update Date : 04/04/2026

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

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