Healthcare Provider Details

I. General information

NPI: 1972331106
Provider Name (Legal Business Name): CARE 2 INSPIRE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 07/22/2024
Certification Date: 07/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3937 DURANGO AVE
SEBRING FL
33872-2368
US

IV. Provider business mailing address

3937 DURANGO AVE
SEBRING FL
33872-2368
US

V. Phone/Fax

Practice location:
  • Phone: 863-677-6031
  • Fax: 866-505-2704
Mailing address:
  • Phone: 863-677-6031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MATRINA JOHNSON
Title or Position: PRESIDENT
Credential:
Phone: 863-677-6031