Provider Demographics
NPI:1417316928
Name:ENSPIRIT ENTERPRISES, LLC
Entity Type:Organization
Organization Name:ENSPIRIT ENTERPRISES, LLC
Other - Org Name:SYNERGY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DIMEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-499-4700
Mailing Address - Street 1:525 S 4TH ST
Mailing Address - Street 2:SUITE 245
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-1570
Mailing Address - Country:US
Mailing Address - Phone:267-499-4700
Mailing Address - Fax:267-480-2990
Practice Address - Street 1:525 S 4TH ST
Practice Address - Street 2:SUITE 245
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-1570
Practice Address - Country:US
Practice Address - Phone:267-499-4700
Practice Address - Fax:267-480-2990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA26273601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health