Healthcare Provider Details

I. General information

NPI: 1154238947
Provider Name (Legal Business Name): ASPIRE PATHWAY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 N CENTRAL AVE # 219
PHOENIX AZ
85012-2645
US

IV. Provider business mailing address

3133 W FRYE RD STE 101
CHANDLER AZ
85226-5132
US

V. Phone/Fax

Practice location:
  • Phone: 612-232-9355
  • Fax:
Mailing address:
  • Phone: 612-232-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED J ISSE
Title or Position: OWNER
Credential:
Phone: 612-232-9355