Healthcare Provider Details

I. General information

NPI: 1427984541
Provider Name (Legal Business Name): INSPIRE RESIDENTIAL LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 COX RD
GLEN ALLEN VA
23060-9275
US

IV. Provider business mailing address

4860 COX RD STE 200
GLEN ALLEN VA
23060-9248
US

V. Phone/Fax

Practice location:
  • Phone: 317-222-9888
  • Fax: 317-823-2853
Mailing address:
  • Phone: 317-222-9888
  • Fax: 317-823-2853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: TANYA L DAVIS
Title or Position: CEO
Credential:
Phone: 317-623-4868