Provider Demographics
NPI:1669247318
Name:INSPIRE HOME AND COMMUNITY SERVICES
Entity type:Organization
Organization Name:INSPIRE HOME AND COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LITICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-685-3687
Mailing Address - Street 1:1514 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4920
Mailing Address - Country:US
Mailing Address - Phone:732-685-3687
Mailing Address - Fax:
Practice Address - Street 1:1615 CHESTNUT LN
Practice Address - Street 2:
Practice Address - City:WESTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08093-1830
Practice Address - Country:US
Practice Address - Phone:732-685-3687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health