Healthcare Provider Details

I. General information

NPI: 1912368606
Provider Name (Legal Business Name): INSPIRING LIVES FOREVER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2016
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2059 EVERGREEN AVE
JACKSONVILLE FL
32206-3977
US

IV. Provider business mailing address

309 E 4TH ST
JACKSONVILLE FL
32206-4601
US

V. Phone/Fax

Practice location:
  • Phone: 904-577-9383
  • Fax:
Mailing address:
  • Phone: 904-577-9383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateOH

VIII. Authorized Official

Name: NAJEEBAH T. SHAREEF
Title or Position: PRESIDENT
Credential:
Phone: 904-577-9383