Healthcare Provider Details
I. General information
NPI: 1265949317
Provider Name (Legal Business Name): INSPIRE CARE ADULT DAY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/10/2018
Last Update Date: 01/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2626 CHARLES DR STE C
CHALMETTE LA
70043-3779
US
IV. Provider business mailing address
2626 CHARLES DR STE C
CHALMETTE LA
70043-3779
US
V. Phone/Fax
- Phone: 504-309-2310
- Fax: 504-309-2330
- Phone: 504-309-2310
- Fax: 504-309-2330
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RAISHAWN
SMITH
Title or Position: OWNER
Credential:
Phone: 504-249-2644