Provider Demographics
NPI:1699427773
Name:ASPIRE STAFFING LLC
Entity type:Organization
Organization Name:ASPIRE STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRATE-TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-939-6147
Mailing Address - Street 1:425 SUMMIT TERRACE CT STE 1A
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7056
Mailing Address - Country:US
Mailing Address - Phone:180-393-9614
Mailing Address - Fax:803-939-6148
Practice Address - Street 1:425 SUMMIT TERRACE CT STE 1A
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7056
Practice Address - Country:US
Practice Address - Phone:180-393-9614
Practice Address - Fax:803-939-6148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX1794Medicaid