Provider Demographics
NPI:1629793682
Name:INSPIRE, INC.
Entity Type:Organization
Organization Name:INSPIRE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-258-0900
Mailing Address - Street 1:10201 S 51ST ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-5216
Mailing Address - Country:US
Mailing Address - Phone:602-258-0900
Mailing Address - Fax:602-258-0200
Practice Address - Street 1:10201 S 51ST ST STE 101
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-5216
Practice Address - Country:US
Practice Address - Phone:602-258-0900
Practice Address - Fax:928-440-5057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ612750336OtherNON MEDICAL