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General NPI Number Information
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NPI Number | 1639246333
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Entity Type | Organization
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Legal Business Name | COMMUNITY SUPPORTS INSPIRED, LLC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 256 ADD HOLLOW RD
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City | MANCHESTER
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State | KY
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Zip | 40962-7311
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Country | US
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Telephone | 606-391-3155
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Fax | 606-862-7797
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Provider Business Mailing Address
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Address Line | 256 ADD HOLLOW RD
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City | MANCHESTER
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State | KY
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Zip | 40962-7311
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Country | US
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Telephone | 606-391-3155
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Fax | 606-862-7797
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KIMBERLY LYNN FIELDS
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Credential |
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Telephone | 606-391-3155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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