Provider Demographics
NPI:1093263345
Name:INSPIRING COMMUNITIES
Entity Type:Organization
Organization Name:INSPIRING COMMUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIABETES PROGRAM COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:LACHAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-438-6844
Mailing Address - Street 1:1511 SYCAMORE AVE
Mailing Address - Street 2:SUITE M134
Mailing Address - City:HERCULES
Mailing Address - State:CA
Mailing Address - Zip Code:94547-1767
Mailing Address - Country:US
Mailing Address - Phone:510-439-6844
Mailing Address - Fax:510-255-5196
Practice Address - Street 1:3220 BLUME DR STE 116
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806-1903
Practice Address - Country:US
Practice Address - Phone:510-439-6844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-15
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty