Provider Demographics
NPI:1265296529
Name:INSPIRATION CASE MANAGEMENT AGENCY
Entity type:Organization
Organization Name:INSPIRATION CASE MANAGEMENT AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:678-818-2116
Mailing Address - Street 1:1238 COTTAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-4914
Mailing Address - Country:US
Mailing Address - Phone:678-818-2116
Mailing Address - Fax:
Practice Address - Street 1:1025 VETERANS MEMORIAL HWY SE
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-7707
Practice Address - Country:US
Practice Address - Phone:678-818-2116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care