Provider Demographics
NPI:1487151171
Name:ASPIRE SUPPORT COORDINATION
Entity type:Organization
Organization Name:ASPIRE SUPPORT COORDINATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:JERSON
Authorized Official - Last Name:VENESCAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-440-0802
Mailing Address - Street 1:PO BOX 932
Mailing Address - Street 2:
Mailing Address - City:MC AFEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07428-0932
Mailing Address - Country:US
Mailing Address - Phone:973-440-0802
Mailing Address - Fax:973-965-9559
Practice Address - Street 1:40 ROUTE 94
Practice Address - Street 2:UNIT 392 / L1
Practice Address - City:MCAFEE
Practice Address - State:NJ
Practice Address - Zip Code:07428
Practice Address - Country:US
Practice Address - Phone:973-440-0802
Practice Address - Fax:973-965-9559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 385H00000X, 253Z00000X
NJ251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251X00000XAgenciesSupports Brokerage
No385H00000XRespite Care FacilityRespite Care