ASPIRE DEVELOPMENTAL SERVICES, LLC (NPI# 1629490263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629490263 |
| Entity Type | Organization |
| Organization Name | ASPIRE DEVELOPMENTAL SERVICES, LLC |
| Practice Address |
2603 W 25th St Roswell NM 88201-8878 |
| Practice Telephone | 5759101333 |
| Mailing Telephone | 5759101333 |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |
| Authorized Official Name | DAVID RODRIGUEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5759101333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
2603 W 25TH ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-8878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548693203 | Hope Developmental Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1101 S Main St Ste B, Roswell, NM 88203-5614 | 2013-08-16 |
| 1861839235 | Angela Chavez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 607 S Lea Ave, Roswell, NM 88203-4567 | 2013-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306318423 | Tohatchi Area of Opportunity & Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1658 S Second St, Gallup, NM 87301-5817 | 2018-12-31 |
| 1437659638 | Tender Loving Care Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10213 Belnap Pl Nw, Albuquerque, NM 87114-4682 | 2018-02-15 |
| 1609382910 | Heartwell Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4123 Eubank Blvd Ne, Albuquerque, NM 87111-3421 | 2017-12-21 |
| 1255843330 | Janyce Wallace | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7700 Ranchwood Dr Nw, Albuquerque, NM 87120-4020 | 2017-10-30 |
| 1033569074 | Sorinity Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 818 W Granada St, Espanola, NM 87532-2409 | 2016-06-21 |
| 1568801017 | Collins Lake Autism Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 246 Encinal Road, Cleveland, NM 87715 | 2013-06-18 |
| 1538444625 | Milagro De Vida Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2249 Santa Ana, Las Cruces, NM 88011-9082 | 2011-10-20 |
| 1255636221 | Onyx Supportive Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5301 Crooked Creek Ave Nw, Albuquerque, NM 87114-4193 | 2011-01-21 |
| 1154625275 | Mandy's Special Farm | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 346 Clark Rd Sw, Albuquerque, NM 87105-7546 | 2011-01-04 |
| 1902072697 | Great Livin', LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4213 Ponderosa Ave Ne, Albuquerque, NM 87110-1031 | 2008-05-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.