Healthcare Provider Details
I. General information
NPI: 1669132627
Provider Name (Legal Business Name): INSPICARE HOMES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2021
Last Update Date: 02/06/2023
Certification Date: 02/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
501 UNION ST STE 416
NASHVILLE TN
37219-1704
US
IV. Provider business mailing address
501 UNION ST STE 416
NASHVILLE TN
37219-1704
US
V. Phone/Fax
- Phone: 615-761-9179
- Fax:
- Phone: 615-761-9179
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320600000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320800000X |
| Taxonomy | Mental Illness Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
C. GRAYCE
BERNARD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 615-761-9179