Provider Demographics
NPI:1750897609
Name:INSPIRIUM IHC UPSTATE, LLC
Entity type:Organization
Organization Name:INSPIRIUM IHC UPSTATE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MAIORANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-627-1200
Mailing Address - Street 1:100 VERDAE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3841
Mailing Address - Country:US
Mailing Address - Phone:864-627-1200
Mailing Address - Fax:
Practice Address - Street 1:100 VERDAE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3841
Practice Address - Country:US
Practice Address - Phone:864-627-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-14
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X, 253Z00000X, 333300000X
SCHHA-0057251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No333300000XSuppliersEmergency Response System Companies