Provider Demographics
NPI:1376088146
Name:INSPIRE SENIOR CARE, LLC
Entity Type:Organization
Organization Name:INSPIRE SENIOR CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR OF BUSINESS AFFAIRS
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVERNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-489-9972
Mailing Address - Street 1:9007 SAFE HAVEN PL
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-6420
Mailing Address - Country:US
Mailing Address - Phone:615-489-9972
Mailing Address - Fax:
Practice Address - Street 1:401 BURKE DR
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60433-2113
Practice Address - Country:US
Practice Address - Phone:615-489-9972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310500000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Mental Illness