Provider Demographics
NPI:1295725273
Name:INSPIRA HOMECARE & HOSPICECARE, INC.
Entity type:Organization
Organization Name:INSPIRA HOMECARE & HOSPICECARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INTERIM EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-213-9900
Mailing Address - Street 1:1138 E CHESTNUT AVE
Mailing Address - Street 2:BLDG. 3B
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-5053
Mailing Address - Country:US
Mailing Address - Phone:856-213-9900
Mailing Address - Fax:856-935-2249
Practice Address - Street 1:1138 E CHESTNUT AVE
Practice Address - Street 2:BLDG. 3B
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-5053
Practice Address - Country:US
Practice Address - Phone:856-213-9900
Practice Address - Fax:856-935-2249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-21
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ71703251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3693007Medicaid
NJ3693015Medicaid
NJ0061514Medicaid
NJ3754600Medicaid
NJ317086Medicare ID - Type Unspecified