Provider Demographics
NPI:1932736311
Name:INSPIRING MINDS
Entity Type:Organization
Organization Name:INSPIRING MINDS
Other - Org Name:DONYELL JONES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DONYELL
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-491-1928
Mailing Address - Street 1:2601 WELLS AVE STE 141
Mailing Address - Street 2:
Mailing Address - City:FERN PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32730
Mailing Address - Country:US
Mailing Address - Phone:407-491-1928
Mailing Address - Fax:407-286-7510
Practice Address - Street 1:2601 WELLS AVE STE 141
Practice Address - Street 2:
Practice Address - City:FERN PARK
Practice Address - State:FL
Practice Address - Zip Code:32730
Practice Address - Country:US
Practice Address - Phone:407-491-1928
Practice Address - Fax:407-286-7510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-25
Last Update Date:2020-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024552500Medicaid