Healthcare Provider Details

I. General information

NPI: 1831968874
Provider Name (Legal Business Name): INSPIRE WELL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2024
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 LISBON ST # 3
LISBON ME
04250-6021
US

IV. Provider business mailing address

31 CHAMPAGNE LN
LISBON ME
04250-6078
US

V. Phone/Fax

Practice location:
  • Phone: 603-568-3752
  • Fax:
Mailing address:
  • Phone: 603-568-3752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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

VIII. Authorized Official

Name: ANDRE BIRENZI
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 603-568-3752