MEDICARE: INSPIRATION HOUSE CARE PROVIDERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility	10006	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538385497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRATION HOUSE CARE PROVIDERS, INC.

Provider Business Mailing Address
First Line	:	3361 GENERAL DEGAULLE DR
Second Line	:	204
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114
Country	:	US
Telephone Number	:	504-366-2442
Fax Number	:	504-366-2458

Provider Business Practice Location Address
First Line	:	3361 GENERAL DEGAULLE DR
Second Line	:	204
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114-6701
Country	:	US
Telephone Number	:	504-366-2442
Fax Number	:	504-366-2458

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. GISELLE THOMAS
Credential	:
Telephone Number	:	504-366-2442

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	08/22/2020

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