Healthcare Provider Details

I. General information

NPI: 1497674022
Provider Name (Legal Business Name): ASPIRE RESIDENTIAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7287 FALMOUTH CURV
SHAKOPEE MN
55379-7044
US

IV. Provider business mailing address

7287 FALMOUTH CURV
SHAKOPEE MN
55379-7044
US

V. Phone/Fax

Practice location:
  • Phone: 612-517-5883
  • Fax:
Mailing address:
  • Phone: 612-517-5883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: SIHAM JAMA HASHI
Title or Position: OWNER
Credential:
Phone: 612-517-5883