Healthcare Provider Details

I. General information

NPI: 1013846716
Provider Name (Legal Business Name): ASPIRE PATH HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W 300 S
HYRUM UT
84319-1543
US

IV. Provider business mailing address

5482 ROUNDTREE DR APT D
CONCORD CA
94521-3913
US

V. Phone/Fax

Practice location:
  • Phone: 808-419-8997
  • Fax:
Mailing address:
  • Phone: 808-419-8997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: TAMARIN-FINAU SOANE
Title or Position: OWNER
Credential:
Phone: 808-419-8997