Provider Demographics
NPI:1932502713
Name:INSPIRED LIVING SERVICES LLC
Entity Type:Organization
Organization Name:INSPIRED LIVING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:BRANNON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MFTC
Authorized Official - Phone:720-466-5586
Mailing Address - Street 1:1129 S MONACO PKWY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1809
Mailing Address - Country:US
Mailing Address - Phone:720-466-5586
Mailing Address - Fax:
Practice Address - Street 1:1129 S MONACO PKWY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1809
Practice Address - Country:US
Practice Address - Phone:720-466-5586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities