MEDICARE: INSPIRING LOVING HOPE HOMES 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	261QR0400X	Rehabilitation Clinic/Center
2	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1710867353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRING LOVING HOPE HOMES LLC

Provider Business Mailing Address
First Line	:	3125 PECK ST
Second Line	:
City	:	MUSKEGON HEIGHTS
State	:	MI
Zip	:	49444-2934
Country	:	US
Telephone Number	:	470-628-0756
Fax Number	:

Provider Business Practice Location Address
First Line	:	3125 PECK ST
Second Line	:
City	:	MUSKEGON HEIGHTS
State	:	MI
Zip	:	49444-2934
Country	:	US
Telephone Number	:	470-628-0756
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARIO DANIELLE WILLIAMS
Credential	:
Telephone Number	:	470-628-0756

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	09/04/2025

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