Provider Demographics
NPI:1831967181
Name:INSPIRE HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:INSPIRE HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEO-ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:OJINI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:913-710-7057
Mailing Address - Street 1:2850 SW CEDAR HILLS BLVD # 2105
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-1354
Mailing Address - Country:US
Mailing Address - Phone:913-408-9963
Mailing Address - Fax:
Practice Address - Street 1:14350 SW BURLWOOD LN
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2392
Practice Address - Country:US
Practice Address - Phone:913-408-9963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-15
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty