Healthcare Provider Details

I. General information

NPI: 1902309925
Provider Name (Legal Business Name): RAISING INSPIRATIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2018
Last Update Date: 05/31/2022
Certification Date: 05/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 CEDAR RIDGE LN
COLORADO SPRINGS CO
80919-1404
US

IV. Provider business mailing address

1240 CEDAR RIDGE LN
COLORADO SPRINGS CO
80919-1404
US

V. Phone/Fax

Practice location:
  • Phone: 209-327-3366
  • Fax: 866-791-4378
Mailing address:
  • Phone: 209-327-3366
  • Fax: 866-791-4378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateCO

VIII. Authorized Official

Name: MS. JENNIE R. STORMES
Title or Position: OWNER/PRESIDENT
Credential: MSN APRN RXN PMHNPBC
Phone: 209-327-3366