Provider Demographics
NPI:1306547351
Name:ACTIVATE & ASPIRE HOME CARE LLC
Entity type:Organization
Organization Name:ACTIVATE & ASPIRE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERRELL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-680-1298
Mailing Address - Street 1:2843 N FRONT ST STE 205
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-1268
Mailing Address - Country:US
Mailing Address - Phone:678-361-8448
Mailing Address - Fax:
Practice Address - Street 1:2843 N FRONT ST STE 205
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-1268
Practice Address - Country:US
Practice Address - Phone:678-361-8448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care