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General NPI Number Information
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NPI Number | 1376088146
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Entity Type | Organization
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Legal Business Name | INSPIRE SENIOR CARE, LLC
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Dates
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Enumeration Date | 01/03/2017
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 401 BURKE DR
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City | JOLIET
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State | IL
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Zip | 60433-2113
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Country | US
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Telephone | 615-489-9972
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Fax |
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Provider Business Mailing Address
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Address Line | 9007 SAFE HAVEN PL
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City | SPRING HILL
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State | TN
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Zip | 37174-6420
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Country | US
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Telephone | 615-489-9972
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR OF BUSINESS AFFAIRS
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Name | SARAH DEVERNA
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Credential |
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Telephone | 615-489-9972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State |
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