MEDICARE: ASPIRE CARE HOME, 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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1326911827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPIRE CARE HOME, LLC.

Provider Business Mailing Address
First Line	:	4028 E BURGESS LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-5141
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4028 E BURGESS LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-5141
Country	:	US
Telephone Number	:	602-885-7820
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ALEXANDRA JUDKINS
Credential	:
Telephone Number	:	602-885-7820

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

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