Healthcare Provider Details

I. General information

NPI: 1821908534
Provider Name (Legal Business Name): INSPIRE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6314 60TH ST
KENOSHA WI
53144-3706
US

IV. Provider business mailing address

6314 60TH ST
KENOSHA WI
53144-3706
US

V. Phone/Fax

Practice location:
  • Phone: 414-520-5120
  • Fax: 262-764-0063
Mailing address:
  • Phone: 414-520-5120
  • Fax: 262-764-0063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: YOUSEF Z KADADHA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: RN
Phone: 414-520-5120