Provider Demographics
NPI:1235941071
Name:ASPIRE SERENITY HOME HEALTH CARE INC
Entity type:Organization
Organization Name:ASPIRE SERENITY HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HAZELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUMIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-372-2960
Mailing Address - Street 1:714 S 38TH CT
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5894
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:27305 110TH AVE SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-7207
Practice Address - Country:US
Practice Address - Phone:206-372-2960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health