Healthcare Provider Details

I. General information

NPI: 1972159622
Provider Name (Legal Business Name): INSPIRE ME PARTNERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2019
Last Update Date: 12/12/2019
Certification Date: 12/12/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 W BEAVER ST STE 205
JACKSONVILLE FL
32204-1416
US

IV. Provider business mailing address

260 S MARION AVE STE 105
LAKE CITY FL
32025-7034
US

V. Phone/Fax

Practice location:
  • Phone: 904-712-3540
  • Fax: 904-775-3570
Mailing address:
  • Phone: 800-817-5404
  • Fax: 386-361-7732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: RACHEL SHAW
Title or Position: PRESIDENT
Credential: M.S.
Phone: 904-712-3540