Provider Demographics
NPI:1821033903
Name:ASPIRE HEALTH PARTNERS, INC.
Entity type:Organization
Organization Name:ASPIRE HEALTH PARTNERS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-875-3700
Mailing Address - Street 1:5151 ADANSON ST STE 201
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-1330
Mailing Address - Country:US
Mailing Address - Phone:407-875-3700
Mailing Address - Fax:407-623-1037
Practice Address - Street 1:1800 MERCY DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-5646
Practice Address - Country:US
Practice Address - Phone:407-875-3700
Practice Address - Fax:407-522-4671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 283Q00000X
FL261QM0801X, 261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase ManagementGroup - Single Specialty
No283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL011168001Medicaid
FL060379116Medicaid
FL011168002Medicaid
FL012380700Medicaid
FL060379100Medicaid
FL012188900Medicaid
FL108981200Medicaid
FL763232100Medicaid
FL011837700Medicaid
FL011030400Medicaid
FL011030401Medicaid
FL060379101Medicaid
FL060379105Medicaid
FL060379106Medicaid
FL011116800Medicaid