Provider Demographics
NPI:1528886686
Name:ASPIRE CARE ALH, LLC
Entity type:Organization
Organization Name:ASPIRE CARE ALH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DESIGNEE/CFO
Authorized Official - Prefix:
Authorized Official - First Name:ARDIS
Authorized Official - Middle Name:LADEAN
Authorized Official - Last Name:MUTINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-793-7160
Mailing Address - Street 1:3501 SPINNAKER DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-3427
Mailing Address - Country:US
Mailing Address - Phone:907-793-7160
Mailing Address - Fax:
Practice Address - Street 1:3501 SPINNAKER DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99516-3427
Practice Address - Country:US
Practice Address - Phone:907-793-7160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility