MEDICARE: INSPIRATION AND GUIDANCE INC.

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	251E00000X	Home Health Agency
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1275257131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRATION AND GUIDANCE INC.

Provider Business Mailing Address
First Line	:	4045 COAL SPRING LN APT 1C
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-4359
Country	:	US
Telephone Number	:	804-762-2415
Fax Number	:

Provider Business Practice Location Address
First Line	:	4045 COAL SPRING LN APT 1C
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-4359
Country	:	US
Telephone Number	:	804-762-2415
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MONIQUE HYDE
Credential	:
Telephone Number	:	804-762-2415

Provider Enumeration Date	:	10/03/2022
Last Update Date	:	03/14/2023

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