Provider Demographics
NPI:1699217992
Name:ASPIRATIONAL LIVING LLC
Entity type:Organization
Organization Name:ASPIRATIONAL LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AZEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-926-8955
Mailing Address - Street 1:21067 ETHAN CT
Mailing Address - Street 2:SUITE 305-B
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-2430
Mailing Address - Country:US
Mailing Address - Phone:571-599-9095
Mailing Address - Fax:571-250-8965
Practice Address - Street 1:209 ELDEN ST
Practice Address - Street 2:SUITE 305
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4852
Practice Address - Country:US
Practice Address - Phone:571-599-9095
Practice Address - Fax:571-250-8965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-17
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-171559251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health