MEDICARE: INSPIRATIONAL IN-HOME CARE 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	302F00000X	Exclusive Provider Organization		NC
2	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1740457027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRATIONAL IN-HOME CARE INC.

Provider Business Mailing Address
First Line	:	5736 N TRYON ST
Second Line	:	201-C
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-6850
Country	:	US
Telephone Number	:	704-780-3827
Fax Number	:

Provider Business Practice Location Address
First Line	:	5736 N TRYON ST
Second Line	:	201-C
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-6850
Country	:	US
Telephone Number	:	704-780-3827
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. GAIL REYNOLDS MCGEE
Credential	:	CNA
Telephone Number	:	704-965-7614

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	05/15/2008

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