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NPI Code Detail

MEDICARE: ASPEN CARE SERVICES LLC

MEDICARE: ASPEN CARE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1063206175
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPEN CARE SERVICES LLC
Provider Business Mailing Address
First Line : 201 N ILLINOIS ST STE 1655
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46204-1904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 N ILLINOIS ST STE 1655
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46204-1904
Country : US
Telephone Number : 651-428-3783
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RIDWAN DAYIB
Credential :
Telephone Number : 651-331-9327
Provider Enumeration Date : 04/05/2025
Last Update Date : 01/23/2026

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Directions to “ASPEN CARE SERVICES LLC ” Practice Location

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