MEDICARE: BNSPIRED HEALTHCARE SERVICES, 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

General Provider Information

NPI Number	:	1619621042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BNSPIRED HEALTHCARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	8205 CAMP BOWIE WEST BLVD STE 204
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-6328
Country	:	US
Telephone Number	:	682-444-8647
Fax Number	:

Provider Business Practice Location Address
First Line	:	8205 CAMP BOWIE WEST BLVD STE 204
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-6328
Country	:	US
Telephone Number	:	682-444-8647
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE DENYSE WILLIAMS
Credential	:
Telephone Number	:	817-841-7311

Provider Enumeration Date	:	02/04/2022
Last Update Date	:	03/24/2022

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