Provider Demographics
NPI:1316603079
Name:INSPIRED CREATIONS LLC
Entity Type:Organization
Organization Name:INSPIRED CREATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:TAIWANA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:LINEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-888-0019
Mailing Address - Street 1:304 S JONES BLVD STE 5175
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-2623
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4454 AMERICAN WAY
Practice Address - Street 2:SUITE 14
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816
Practice Address - Country:US
Practice Address - Phone:225-888-0019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty