Healthcare Provider Details

I. General information

NPI: 1619621042
Provider Name (Legal Business Name): BNSPIRED HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8205 CAMP BOWIE WEST BLVD STE 204
FORT WORTH TX
76116-6328
US

IV. Provider business mailing address

8205 CAMP BOWIE WEST BLVD STE 204
FORT WORTH TX
76116-6328
US

V. Phone/Fax

Practice location:
  • Phone: 682-444-8647
  • Fax:
Mailing address:
  • Phone: 682-444-8647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE DENYSE WILLIAMS
Title or Position: OWNER
Credential:
Phone: 817-841-7311