Provider Demographics
NPI:1962258210
Name:INSTITUTE FOR ASPIRE HUMAN DYNAMIC COMMUNITY HEALTHCARE SERVICE
Entity type:Organization
Organization Name:INSTITUTE FOR ASPIRE HUMAN DYNAMIC COMMUNITY HEALTHCARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-926-0035
Mailing Address - Street 1:3296 HIGHPOINT CT
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-7401
Mailing Address - Country:US
Mailing Address - Phone:719-517-6905
Mailing Address - Fax:585-502-1157
Practice Address - Street 1:14 WALL ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-2101
Practice Address - Country:US
Practice Address - Phone:866-926-0035
Practice Address - Fax:585-502-1157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-27
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health