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NPI Code Detail

MEDICARE: ASPIRE SENIOR LIVING MALDEN, LLC

MEDICARE: ASPIRE SENIOR LIVING MALDEN, 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1346816386
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRE SENIOR LIVING MALDEN, LLC
Provider Business Mailing Address
First Line : 19401 E US HIGHWAY 40 STE 120
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64055-5400
Country : US
Telephone Number : 816-957-1010
Fax Number :
Provider Business Practice Location Address
First Line : 1209 STOKELAN DR
Second Line :
City : MALDEN
State : MO
Zip : 63863-1335
Country : US
Telephone Number : 573-276-5115
Fax Number :
Authorized Official
Title or Position : CFO
Name : DAVID STADTMUELLER
Credential :
Telephone Number : 816-957-1010
Provider Enumeration Date : 06/01/2021
Last Update Date : 04/10/2025

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Directions to “ASPIRE SENIOR LIVING MALDEN, LLC ” Practice Location

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