Provider Demographics
NPI:1700241296
Name:INSPIRE RESIDENTIAL SERVICES
Entity Type:Organization
Organization Name:INSPIRE RESIDENTIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-916-4127
Mailing Address - Street 1:PO BOX 594
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-0594
Mailing Address - Country:US
Mailing Address - Phone:252-833-4387
Mailing Address - Fax:252-940-0156
Practice Address - Street 1:118 TURNAGE DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-6038
Practice Address - Country:US
Practice Address - Phone:252-833-4387
Practice Address - Fax:252-940-0156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home