Healthcare Provider Details

I. General information

NPI: 1619788668
Provider Name (Legal Business Name): ASPIRANET
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3727 SUNSET LN STE 210
ANTIOCH CA
94509-6135
US

IV. Provider business mailing address

3727 SUNSET LN STE 210
ANTIOCH CA
94509-6135
US

V. Phone/Fax

Practice location:
  • Phone: 925-753-2156
  • Fax: 925-753-2157
Mailing address:
  • Phone: 925-753-2156
  • Fax: 925-753-2157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JESSICA BORELLI
Title or Position: QA MANAGER
Credential:
Phone: 209-576-1750