Provider Demographics
NPI:1851829899
Name:INSPIRE HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:INSPIRE HOME HEALTH AGENCY LLC
Other - Org Name:APEX HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUSCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-231-2451
Mailing Address - Street 1:21410 N 19TH AVE STE 126
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-2756
Mailing Address - Country:US
Mailing Address - Phone:623-231-2451
Mailing Address - Fax:623-231-2461
Practice Address - Street 1:21410 N 19TH AVE STE 126
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-2756
Practice Address - Country:US
Practice Address - Phone:623-231-2451
Practice Address - Fax:236-231-2461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-02
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZNONE251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ796987Medicaid