Healthcare Provider Details
I. General information
NPI: 1902763154
Provider Name (Legal Business Name): INSPIRED HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3049 N HANOVER AVE
FRESNO CA
93722-8010
US
IV. Provider business mailing address
3049 N HANOVER AVE
FRESNO CA
93722-8010
US
V. Phone/Fax
- Phone: 559-840-7679
- Fax:
- Phone: 559-840-7679
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JAMES
GLEN
BARTRUM
Title or Position: LPN
Credential: ADN
Phone: 559-840-7679