Healthcare Provider Details

I. General information

NPI: 1386588788
Provider Name (Legal Business Name): INSPIRATION OF WARRIOR GAINZ INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 US HIGHWAY 22
MOUNTAINSIDE NJ
07092-2807
US

IV. Provider business mailing address

1199 US HIGHWAY 22
MOUNTAINSIDE NJ
07092-2807
US

V. Phone/Fax

Practice location:
  • Phone: 848-359-9130
  • Fax:
Mailing address:
  • Phone: 848-359-9130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: KYMAR BARNES
Title or Position: PRESIDENT
Credential:
Phone: 848-359-9130