MEDICARE: INSPIRING MINDS WOUND 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	163WW0000X	Wound Care Registered Nurse

General Provider Information

NPI Number	:	1477429306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRING MINDS WOUND CARE LLC

Provider Business Mailing Address
First Line	:	827 PARSONS AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-2345
Country	:	US
Telephone Number	:	614-369-0041
Fax Number	:

Provider Business Practice Location Address
First Line	:	827 PARSONS AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-2345
Country	:	US
Telephone Number	:	614-369-0041
Fax Number	:

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

Provider Enumeration Date	:	10/16/2025
Last Update Date	:	10/16/2025

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