Provider Demographics
NPI:1215423280
Name:ASPIRE INNOVATIVE IN-HOME SENIOR CARE
Entity type:Organization
Organization Name:ASPIRE INNOVATIVE IN-HOME SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:GILREATH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:256-856-0015
Mailing Address - Street 1:1815 TURKEY FARM RD
Mailing Address - Street 2:
Mailing Address - City:LEIGHTON
Mailing Address - State:AL
Mailing Address - Zip Code:35646-5321
Mailing Address - Country:US
Mailing Address - Phone:256-856-0015
Mailing Address - Fax:
Practice Address - Street 1:1815 TURKEY FARM RD
Practice Address - Street 2:
Practice Address - City:LEIGHTON
Practice Address - State:AL
Practice Address - Zip Code:35646-5321
Practice Address - Country:US
Practice Address - Phone:256-856-0015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care