Healthcare Provider Details

I. General information

NPI: 1659172252
Provider Name (Legal Business Name): TRANSFORMED TO INSPIRE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 BROAD ST
PHENIX CITY AL
36867-5077
US

IV. Provider business mailing address

1319 BROAD ST
PHENIX CITY AL
36867-5077
US

V. Phone/Fax

Practice location:
  • Phone: 334-540-3808
  • Fax: 334-540-3808
Mailing address:
  • Phone: 334-540-3808
  • Fax: 334-540-3808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ANGELA DONNER
Title or Position: CEO
Credential:
Phone: 334-540-3808