Provider Demographics
NPI:1083651467
Name:INSPIRATIONAL CARE
Entity Type:Organization
Organization Name:INSPIRATIONAL CARE
Other - Org Name:LILLIAN GLOVER (DBA) INSPIRATIONAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:RENA
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-948-6534
Mailing Address - Street 1:707 HOKE SMITH DR.
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224
Mailing Address - Country:US
Mailing Address - Phone:214-948-6534
Mailing Address - Fax:972-274-0698
Practice Address - Street 1:707 HOKE SMITH DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-3426
Practice Address - Country:US
Practice Address - Phone:214-948-6534
Practice Address - Fax:972-274-0698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX050738310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001003104Medicaid
TX001003105Medicaid
TX001003104Medicaid
TX001015513Medicare UPIN