Active NPI
Aspire Home Health Care Services LLC
- Home Health Agency
- Cridersville, OH
National Provider Identifier
1942573993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ASPIRE HOME HEALTH CARE SERVICES LLC
- Practice address
- 306 Reichelderfer Rd
Cridersville, OH 45806-2252 - Phone
- (419) 738-1176
- Fax
- (419) 738-1173
- NPI assigned
- Feb 21, 2012
- 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
- Ashley Blackburn
- Title
- Owner
- Phone
- (419) 738-1176
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
306 Reichelderfer Rd
Cridersville, OH 45806-2252
Mailing address
306 Reichelderfer Rd
Cridersville, OH 45806-2252
Phone (419) 738-1176
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 354393621 | Other | OH | PASSPORT SERVICES |
| 0104054 | Medicaid | OH | |
| 0600844 | Other | OH | DODD CONTRACT NUMBER |
| 0081047 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120427000363 | OH | Part A Provider - Home Health Agency | 2668634213 | Practice locations: Cridersville, OH |
Home health agency certification: CCN 368456
- Legal name
- ASPIRE HOME HEALTH CARE SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 21, 2012
- Last certification
- Aug 9, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Feb 17, 2012 in OH
- Enrollment address
- 306 Reichelderfer Rd
Cridersville, OH 45806-2252
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Aspire Home Health Care Services LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 21, 2012
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, 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 |
|---|---|---|---|
| 36D2043596 | Aspire Home Health Care Services LLC | Certificate of waiver | Jul 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
306 Reichelderfer Rd
Cridersville, OH 45806
Phone (419) 645-4140
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ashley L Blackburn | 5% Or Greater Direct Ownership Interest | Apr 9, 2013 | 70% |
| W-2 Managing Employee | Apr 19, 2013 | 100% | |
| James S Lucas | 5% Or Greater Direct Ownership Interest | Apr 9, 2012 | 15% |
| Lori L Lucas | 5% Or Greater Direct Ownership Interest | Apr 9, 2012 | 15% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543363200000",
"number": "1942573993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 REICHELDERFER RD",
"city": "CRIDERSVILLE",
"state": "OH",
"postal_code": "458062252",
"telephone_number": "419-738-1176",
"fax_number": "419-738-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 REICHELDERFER RD",
"city": "CRIDERSVILLE",
"state": "OH",
"postal_code": "458062252",
"telephone_number": "419-738-1176",
"fax_number": "419-738-1173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPIRE HOME HEALTH CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-21",
"last_updated": "2018-11-28",
"status": "A",
"authorized_official_last_name": "BLACKBURN",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-738-1176"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT SERVICES",
"identifier": "354393621",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0104054",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DODD CONTRACT NUMBER",
"identifier": "0600844",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0081047",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cridersville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.