Healthcare Provider Details

I. General information

NPI: 1881714475
Provider Name (Legal Business Name): INSPIRATION FIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 10/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 ADAMS AVE
LA JUNTA CO
81050-2535
US

IV. Provider business mailing address

612 ADAMS AVE
LA JUNTA CO
81050-2535
US

V. Phone/Fax

Practice location:
  • Phone: 719-384-8741
  • Fax: 719-384-4278
Mailing address:
  • Phone: 719-384-8741
  • Fax: 719-384-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: ROSA M SALO
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 719-384-8741