Provider Demographics
NPI:1447986385
Name:INSPIRED SENIOR LIVING OF HAMILTON MT, LLC
Entity type:Organization
Organization Name:INSPIRED SENIOR LIVING OF HAMILTON MT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-748-4339
Mailing Address - Street 1:7047 E GREENWAY PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-8116
Mailing Address - Country:US
Mailing Address - Phone:602-834-0508
Mailing Address - Fax:
Practice Address - Street 1:2560 KUSER RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08691-3480
Practice Address - Country:US
Practice Address - Phone:609-438-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility