MEDICARE: ASPIRE HOSPITAL, 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
1	284300000X	Special Hospital
2	282N00000X	General Acute Care Hospital	100173	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	67S093	OTHER		PSYCHIATRIC UNIT PPS EXEMPT NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114340080
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPIRE HOSPITAL, LLC

Provider Business Mailing Address
First Line	:	2006 S LOOP 336 W STE 500
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-3315
Country	:	US
Telephone Number	:	936-647-3500
Fax Number	:	936-647-3479

Provider Business Practice Location Address
First Line	:	2006 S LOOP 336 W STE 500
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-3315
Country	:	US
Telephone Number	:	936-647-3500
Fax Number	:	936-647-3479

Authorized Official
Title or Position	:	CEO
Name	:	NIKO MANTZOROS
Credential	:
Telephone Number	:	936-647-3500

Provider Enumeration Date	:	01/29/2014
Last Update Date	:	02/18/2026

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Directions to “ASPIRE HOSPITAL, LLC ” Practice Location

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