NPI Code Details Logo

NPI 1720940489

NPI 1720940489 : ASPIRE SUPPORTS - HOME HEALTH CORPORATION : HAMBURG, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1720940489
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ASPIRE SUPPORTS - HOME HEALTH CORPORATION 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/01/2025
-----------------------------------------------------
    Last Update Date     |    12/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    225 STATE RT 23 S # 1F 
-----------------------------------------------------
    City                 |    HAMBURG
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07419-1708
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    973-440-0802
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    225 STATE RT 23 S # 1F 
-----------------------------------------------------
    City                 |    HAMBURG
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07419-1708
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    973-440-0802
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     KARL JERSON VENESCAR 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    973-440-0802
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.