Provider Demographics
NPI:1508472234
Name:INSPIRED BY LOVE HOME HEALTHCARE AGENCY LLC
Entity Type:Organization
Organization Name:INSPIRED BY LOVE HOME HEALTHCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-715-1567
Mailing Address - Street 1:4941 MAGELLAN AVE
Mailing Address - Street 2:
Mailing Address - City:TROTWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45426-1483
Mailing Address - Country:US
Mailing Address - Phone:937-715-1567
Mailing Address - Fax:
Practice Address - Street 1:4941 MAGELLAN AVE
Practice Address - Street 2:
Practice Address - City:TROTWOOD
Practice Address - State:OH
Practice Address - Zip Code:45426-1483
Practice Address - Country:US
Practice Address - Phone:937-715-1567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health