Organization Active NPI

Aspire Healthcare Services

  • Home Health Agency
  • Upland, CA
National Provider Identifier
1780024851
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
28948 Issued in CA
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
PartnershipProprietary
Enrollment address
222 N Mountain Ave
Ste 201a
Upland, CA 91786-5714

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aspire Healthcare ServicesCCN 059761 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 13, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2076621Aspire Healthcare Services222 N Mountain Ave Ste 201a, Upland, CA 91786Certificate of waiverAug 22, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Marcel Frago Individual 5% Or Greater Direct Ownership Interest Jun 1, 2012 50%
General Partnership InterestPartner Jun 1, 2012 50%
Hercy E Valenzuela Individual 5% Or Greater Direct Ownership Interest Jun 1, 2012 50%
Corporate OfficerCeo Jun 1, 2012 50%
W-2 Managing EmployeeCeo Dec 10, 2012 50%
Operational/Managerial ControlCeo Jun 1, 2012 50%

Practitioners & affiliated clinicians

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.