NPIMap

Aspire Health Partners, Inc.

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Orlando, FL

NPI 1821033903 · NPPES record last updated Aug 9, 2024

Key facts

NPI
1821033903
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
ASPIRE HEALTH PARTNERS, INC.
Practice address
1800 Mercy Dr
Orlando, FL 32808-5646
Phone
(407) 875-3700
Fax
(407) 522-4671
NPI assigned
Jun 20, 2006
Organization subpart
No

Authorized official

Name
Linda M Damm
Title
Cfo
Phone
(407) 875-3700

Practitioners 501

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 501

Medicare Care Compare: Hospital

Listed as
Aspire Health Partners CCN 104067
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
No

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in FL
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Hospital certification: CCN 104067

Legal name
ASPIRE HEALTH PARTNERS, INC.
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 26, 2001
Last certification
Apr 13, 2023
Beds
56
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Incorporated
Jun 20, 1983 in FL
Enrollment address
1800 Mercy Dr
Orlando, FL 32808-5646
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scott C Griffiths
Individual 		Corporate Officer
Chief Administrative Officer		 Jul 1, 2017
Babette Hankey
Individual 		Corporate Officer
Chief Executive Officer		 Jan 1, 2019
Operational/Managerial Control Jan 1, 2019
Linda Marie Damm
Individual 		Corporate Officer
Chief Financial Officer		 Mar 31, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040309000953 FL Part B Supplier - Clinic/Group Practice 8325936446 Receives reassigned benefits from 102 practitioners
Practice locations: Fern Park, FL; Orlando, FL; Sanford, FL
O20101130001396 FL Part a Provider - Hospital 8325936446 Practice locations: Orlando, FL
O20191216000524 FL Part B Supplier - Opioid Treatment Program (Otp) 8325936446 Practice locations: Orlando, FL

National Provider Directory

Locations

96 Plumosa Ave
Casselberry, FL 32707
Phone 4077670416 ext. 22

3905 Grissom Pkwy
Cocoa, FL 32926
Phone (321) 637-1866

237 Fernwood Blvd
Fern Park, FL 32730
Phone (407) 323-2036

1975 S John Young Pkwy
Kissimmee, FL 34741
Phone (321) 236-1540

924 Determination Way
Kissimmee, FL 34741

100 Columbia St
Orlando, FL 32806
Phone (407) 245-0014

8301 E Colonial Dr
Orlando, FL 32817
Phone (407) 249-6560

5029 North Ln
Orlando, FL 32808
Phone (407) 414-7009

1405 W Michigan St
Orlando, FL 32805
Phone (407) 245-0020

1800 Mercy Dr
Ste 302
Orlando, FL 32808
Phone 4078753700 ext. 6316

4508 Thistledown Dr
Orlando, FL 32804
Phone (321) 422-8412

5600 Clarcona Ocoee Rd
Orlando, FL 32810
Phone (407) 521-2495

4670 Lipscomb St NE
Palm Bay, FL 32905
Phone (321) 726-2889

300 S Bay Ave
Sanford, FL 32771
Phone (407) 321-4357

351 S Bay Ave
Sanford, FL 32771
Phone (407) 321-3154

Networks

  • Optimum HealthCare HMO Network
    Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO Network
    Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • HealthSun Health Plans Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X FL Yes
Psychiatric Hospital 283Q00000X

Addresses

Primary practice location

1800 Mercy Dr
Orlando, FL 32808-5646

Mailing address

5151 Adanson St Ste 201
Orlando, FL 32804-1330
Phone (407) 875-3700

Other practice location 1

300 S Bay Ave
Sanford, FL 32771-2141
Phone (407) 875-3700

Other practice location 2

8301 E Colonial Dr
Orlando, FL 32817-3909
Phone (407) 875-3700

Other practice location 3

924 Determination Way
Kissimmee, FL 34741-6017
Phone (407) 875-3700

Other practice location 4

1405 W Michigan St
Orlando, FL 32805-6123
Phone (407) 875-3700

Other practice location 5

1975 S John Young Pkwy
Kissimmee, FL 34741-0603
Phone (407) 875-3700

Other practice location 6

5029 North Ln
Orlando, FL 32808-2088
Phone (407) 875-3700

Other practice location 7

4508 Thistledown Dr
Orlando, FL 32804-1244
Phone (407) 875-3700

Other practice location 8

351 S Bay Ave
Sanford, FL 32771-2140
Phone (407) 875-3700

Other practice location 9

100 Columbia St
Orlando, FL 32806-1006
Phone (407) 875-3700

Other practice location 10

4670 Lipscomb St NE
Palm Bay, FL 32905-2927
Phone (407) 875-3700

Other practice location 11

3905 Grissom Pkwy
Cocoa, FL 32926-3669
Phone (407) 875-3700

Other practice location 12

237 Fernwood Blvd
Fern Park, FL 32730-2116
Phone (407) 875-3700

Other practice location 13

919 E 2nd St
Sanford, FL 32771-2101
Phone (407) 875-3700

Other practice location 14

434 W Kennedy Blvd
Orlando, FL 32810-6237
Phone (407) 875-3700

Other practice location 15

5970 S. Orange Blossom Trail
Intercession City, FL 33848
Phone (407) 875-3700

Other practice location 16

96 Plumosa Ave
Casselberry, FL 32707-2937
Phone (407) 875-3700

Other practice location 17

5600 Clarcona Ocoee Rd
Orlando, FL 32810-3213
Phone (407) 875-3700

Other identifiers

IdentifierTypeStateIssuer
011168001MedicaidFL
060379116MedicaidFL
011168002MedicaidFL
012380700MedicaidFL
060379100MedicaidFL
012188900MedicaidFL
108981200MedicaidFL
763232100MedicaidFL
011837700MedicaidFL
011030400MedicaidFL
011030401MedicaidFL
060379101MedicaidFL
060379105MedicaidFL
060379106MedicaidFL
011116800MedicaidFL

Other names

  • Lakeside Behavioral Healthcare, Inc. Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 9, 2024.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1821033903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 ADANSON ST STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041330",
            "telephone_number": "407-875-3700",
            "fax_number": "407-623-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MERCY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328085646",
            "telephone_number": "407-875-3700",
            "fax_number": "407-522-4671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Bay Ave",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327712141",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8301 E Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328173909",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "924 Determination Way",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
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            "postal_code": "347416017",
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            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 W Michigan St",
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            "state": "FL",
            "postal_code": "328056123",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1975 S John Young Pkwy",
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            "state": "FL",
            "postal_code": "347410603",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5029 North Ln",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328082088",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4508 Thistledown Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328041244",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 S Bay Ave",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327712140",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Columbia St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061006",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4670 Lipscomb St NE",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329052927",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3905 Grissom Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cocoa",
            "state": "FL",
            "postal_code": "329263669",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "237 Fernwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Fern Park",
            "state": "FL",
            "postal_code": "327302116",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327712101",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "434 W Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328106237",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5970 S. Orange Blossom Trail",
            "address_purpose": "LOCATION",
            "city": "Intercession City",
            "state": "FL",
            "postal_code": "33848",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Plumosa Ave",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327072937",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5600 Clarcona Ocoee Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328103213",
            "country_code": "US",
            "telephone_number": "407-875-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASPIRE HEALTH PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "DAMM",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-875-3700"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011168001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
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            "identifier": "060379116",
            "state": "FL"
        },
        {
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            "issuer": null,
            "identifier": "011168002",
            "state": "FL"
        },
        {
            "code": "05",
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            "identifier": "012380700",
            "state": "FL"
        },
        {
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            "identifier": "060379100",
            "state": "FL"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "012188900",
            "state": "FL"
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        {
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            "identifier": "108981200",
            "state": "FL"
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        {
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            "desc": "MEDICAID",
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            "identifier": "763232100",
            "state": "FL"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011837700",
            "state": "FL"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011030400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011030401",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060379101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060379105",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060379106",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011116800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Behavioral Healthcare, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lakeside Behavioral Healthcare, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orlando, FL

All providers in Orlando, FL · Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

Sources for this page

Verify at the official NPI Registry.