Organization Active NPI

Aspire Home Health Care Services LLC

  • Home Health Agency
  • Cridersville, OH
National Provider Identifier
1942573993
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Nov 28, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
354393621OtherOHPASSPORT SERVICES
0104054MedicaidOH
0600844OtherOHDODD CONTRACT NUMBER
0081047MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Feb 17, 2012 in OH
Enrollment address
306 Reichelderfer Rd
Cridersville, OH 45806-2252
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aspire Home Health Care Services LLCCCN 368456
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Nov 21, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, 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
36D2043596Aspire Home Health Care Services LLC306 Reichelderfer Rd, Cridersville, OH 45806Certificate of waiverJul 5, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Ashley L Blackburn Individual 5% Or Greater Direct Ownership InterestBusiness Manager Apr 9, 2013 70%
W-2 Managing Employee Apr 19, 2013 100%
James S Lucas Individual 5% Or Greater Direct Ownership Interest Apr 9, 2012 15%
Lori L Lucas Individual 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

Verify at the official NPI Registry.