Healthcare Provider Details

I. General information

NPI: 1316603079
Provider Name (Legal Business Name): INSPIRED CREATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 11/16/2021
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4454 AMERICAN WAY SUITE 14
BATON ROUGE LA
70816
US

IV. Provider business mailing address

304 S JONES BLVD STE 5175
LAS VEGAS NV
89107-2623
US

V. Phone/Fax

Practice location:
  • Phone: 225-888-0019
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State

VIII. Authorized Official

Name: MS. TAIWANA NICOLE LINEAR
Title or Position: CFO
Credential:
Phone: 225-888-0019