NPIMap

Organization Active NPI

Aspire Living & Learning

  • Intellectual Disabilities Intermediate Care Facility
  • North Haven, CT
National Provider Identifier
1073659256
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ASPIRE LIVING & LEARNING
Practice address
123 Scrub Oak Rd
North Haven, CT 06473-1111
Phone
(203) 234-8993
Fax
(203) 234-0590
NPI assigned
Jan 29, 2007
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca Khalil
Title
Practice Management Coordinator
Phone
(978) 732-3982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

123 Scrub Oak Rd
North Haven, CT 06473-1111

Mailing address

1764 Litchfield Tpke
Woodbridge, CT 06525-2353
Phone (203) 389-6956

Other identifiers 1

IdentifierTypeStateIssuer
61945OtherCTEDS IDENTIFIER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073659256. Details of each certification follow.

  • CCN 07G118 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 07G118

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ASPIRE LIVING AND LEARNING SCRUB OAK
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 2, 1986
Last certification
Sep 26, 2024
Beds
6
Ownership / control type
Private (non-profit)
Facility address
123 Scrub Oak Rd
North Haven, CT 06473

National Provider Directory

National Provider Directory
Tax ID family
The Institute of Professional Practices Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1764 Litchfield Tpke
Woodbridge, CT 06525
Phone (203) 777-2482

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1073659256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 LITCHFIELD TPKE",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252353",
            "telephone_number": "203-389-6956",
            "fax_number": "203-389-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SCRUB OAK RD",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731111",
            "telephone_number": "203-234-8993",
            "fax_number": "203-234-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE LIVING & LEARNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-10-06",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRACTICE MANAGEMENT COORDINATOR",
        "authorized_official_telephone_number": "978-732-3982"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDS IDENTIFIER",
            "identifier": "61945",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.