Active NPI
Aspire Healthcare Services
- Home Health Agency
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 28948
- Legal business name
- ASPIRE HEALTHCARE SERVICES
- Practice address
- 222 N Mountain Ave Ste 201a
Upland, CA 91786-5714 - Phone
- (909) 982-2465
- Fax
- (909) 982-2475
- NPI assigned
- Jul 3, 2013
- Last updated
- Apr 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hercy Valenzuela
- Title
- Partner
- Phone
- (909) 982-2465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 28948 | CA | Primary |
Addresses
Primary practice location
222 N Mountain Ave Ste 201a
Upland, CA 91786-5714
Mailing address
222 N Mountain Ave Ste 201a
Upland, CA 91786-5714
Phone (909) 982-2465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140630001037 | CA | Part A Provider - Home Health Agency | 6305061607 | Practice locations: Upland, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1780024851. Details of each certification follow.
Home health agency certification: CCN 059761
- Legal name
- ASPIRE HEALTHCARE SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 13, 2016
- Last certification
- Jul 30, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Partnership
- Enrollment address
- 222 N Mountain Ave
Ste 201a
Upland, CA 91786-5714
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Aspire Healthcare Services
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 13, 2016
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2076621 | Aspire Healthcare Services | Certificate of waiver | Aug 22, 2026 |
National Provider Directory
National Provider DirectoryLocations
1425 W Foothill Blvd
Ste 212
Upland, CA 91786
Phone (909) 982-2465
222 N Mountain Ave
Ste 103B
Upland, CA 91786
Phone (909) 982-2465
222 N Mountain Ave
Ste 201A
Upland, CA 91786
Phone (909) 982-2465
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Marcel Frago | 5% Or Greater Direct Ownership Interest | Jun 1, 2012 | 50% |
| General Partnership Interest | Jun 1, 2012 | 50% | |
| Hercy E Valenzuela | 5% Or Greater Direct Ownership Interest | Jun 1, 2012 | 50% |
| Corporate Officer | Jun 1, 2012 | 50% | |
| W-2 Managing Employee | Dec 10, 2012 | 50% | |
| Operational/Managerial Control | Jun 1, 2012 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 9
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Interventional Cardiology Physician
- Buena Park, CA
- NPI 1992766604
Home health agency
-
- Family Medicine Physician
- Fallbrook, CA
- NPI 1033179254
Home health agency
-
- Sports Medicine (Family Medicine) Physician
- Temecula, CA
- NPI 1205938537
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681776000000",
"number": "1780024851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N MOUNTAIN AVE STE 201A",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865714",
"telephone_number": "909-982-2465",
"fax_number": "909-982-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N MOUNTAIN AVE STE 201A",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865714",
"telephone_number": "909-982-2465",
"fax_number": "909-982-2475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPIRE HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-03",
"last_updated": "2023-04-18",
"certification_date": "2023-03-14",
"status": "A",
"authorized_official_last_name": "VALENZUELA",
"authorized_official_first_name": "HERCY",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "909-982-2465"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "28948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.