Healthcare Provider Details

I. General information

NPI: 1285329979
Provider Name (Legal Business Name): INSPIRECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 04/07/2023
Certification Date: 04/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N 8TH ST
DOUGLAS WY
82633-2414
US

IV. Provider business mailing address

111 N 8TH ST
DOUGLAS WY
82633-2414
US

V. Phone/Fax

Practice location:
  • Phone: 970-685-1572
  • Fax:
Mailing address:
  • Phone: 970-685-1572
  • 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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: KARI WILLIAMS
Title or Position: CEO/DIRECTOR
Credential: RN
Phone: 970-685-1572