MEDICARE: INSPIRE HOPE 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	172V00000X	Community Health Worker
2	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1285589861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRE HOPE LLC

Provider Business Mailing Address
First Line	:	2684 SALT LAKE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-4367
Country	:	US
Telephone Number	:	904-472-5593
Fax Number	:

Provider Business Practice Location Address
First Line	:	2684 SALT LAKE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32211-4367
Country	:	US
Telephone Number	:	904-472-5593
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MONIQUE J. ROGERS
Credential	:
Telephone Number	:	904-472-5593

Provider Enumeration Date	:	02/28/2026
Last Update Date	:	04/23/2026

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Directions to “INSPIRE HOPE LLC ” Practice Location

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