MEDICARE: ASPEN HOME HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1831657352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPEN HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	970 CYPRESS VILLAGE BLVD STE 126
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-6830
Country	:	US
Telephone Number	:	813-296-7339
Fax Number	:

Provider Business Practice Location Address
First Line	:	970 CYPRESS VILLAGE BLVD STE 126
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-6830
Country	:	US
Telephone Number	:	813-296-7339
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JAMES BIGGINS
Credential	:
Telephone Number	:	813-965-2323

Provider Enumeration Date	:	03/04/2019
Last Update Date	:	08/16/2024

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