Provider Demographics
NPI:1043750979
Name:INSPIRE HEALTH LLC
Entity type:Organization
Organization Name:INSPIRE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUEMERLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-470-4265
Mailing Address - Street 1:4020 BIRCH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2260
Mailing Address - Country:US
Mailing Address - Phone:714-470-4265
Mailing Address - Fax:
Practice Address - Street 1:67 SANCTUARY
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-3425
Practice Address - Country:US
Practice Address - Phone:800-520-1215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-25
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA324500000X
324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility