Provider Demographics
NPI:1124382882
Name:INSPIRATIONAL CARE COORDINATION SERVICES,LLC
Entity Type:Organization
Organization Name:INSPIRATIONAL CARE COORDINATION SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAJA
Authorized Official - Middle Name:RANEE
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-302-5577
Mailing Address - Street 1:3402 BAKER BLVD
Mailing Address - Street 2:SUITE A-3
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714-2509
Mailing Address - Country:US
Mailing Address - Phone:225-302-5577
Mailing Address - Fax:225-302-5578
Practice Address - Street 1:3402 BAKER BLVD
Practice Address - Street 2:SUITE A-3
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-2509
Practice Address - Country:US
Practice Address - Phone:225-302-5577
Practice Address - Fax:225-302-5578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA27072251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management