Healthcare Provider Details

I. General information

NPI: 1740457027
Provider Name (Legal Business Name): INSPIRATIONAL IN-HOME CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2008
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5736 N TRYON ST 201-C
CHARLOTTE NC
28213-6850
US

IV. Provider business mailing address

5736 N TRYON ST 201-C
CHARLOTTE NC
28213-6850
US

V. Phone/Fax

Practice location:
  • Phone: 704-780-3827
  • Fax:
Mailing address:
  • Phone: 704-780-3827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. GAIL REYNOLDS MCGEE
Title or Position: OFFICE MANAGER
Credential: CNA
Phone: 704-965-7614