MEDICARE: INSPIRING MINDS HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1255262051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRING MINDS HOME CARE LLC

Provider Business Mailing Address
First Line	:	945 MCKINNEY ST STE 430
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-6308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 WOODLAND PARK DR APT 303
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-2271
Country	:	US
Telephone Number	:	614-369-0041
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAHOGANEY MCKINNEY
Credential	:
Telephone Number	:	614-369-0041

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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