Healthcare Provider Details

I. General information

NPI: 1831024850
Provider Name (Legal Business Name): A.S.P.I.R.E HOME OF GUIDANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 WILSON AVE
SAINT PAUL MN
55106-5918
US

IV. Provider business mailing address

1542 WILSON AVE
SAINT PAUL MN
55106-5918
US

V. Phone/Fax

Practice location:
  • Phone: 651-283-7158
  • Fax:
Mailing address:
  • Phone: 651-283-7158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: RIKIEE ELLIS
Title or Position: OWNER
Credential:
Phone: 651-283-7158