Healthcare Provider Details

I. General information

NPI: 1427566942
Provider Name (Legal Business Name): INSPIRING HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 07/07/2020
Certification Date: 07/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 N 31ST AVE STE D402
PHOENIX AZ
85051-1352
US

IV. Provider business mailing address

20280 N 59TH AVE STE 115-750
GLENDALE AZ
85308-6850
US

V. Phone/Fax

Practice location:
  • Phone: 480-980-4971
  • Fax: 480-940-5412
Mailing address:
  • Phone: 623-910-9365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHHA8927
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: STEVEN ANTHONY GIERISH
Title or Position: GENERAL MANAGER
Credential:
Phone: 623-910-9365