Provider Demographics
NPI:1679839609
Name:INSPIRED CARE SERVICES INC.
Entity Type:Organization
Organization Name:INSPIRED CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DYNESE
Authorized Official - Middle Name:WEAH
Authorized Official - Last Name:DIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-210-7023
Mailing Address - Street 1:6620 WILDFLOWER DR S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-1730
Mailing Address - Country:US
Mailing Address - Phone:651-210-7023
Mailing Address - Fax:
Practice Address - Street 1:6620 WILDFLOWER DR S
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-1730
Practice Address - Country:US
Practice Address - Phone:651-210-7023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health