Provider Demographics
NPI:1871897421
Name:INSPIRATION HOME CARE, LLC
Entity type:Organization
Organization Name:INSPIRATION HOME CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-693-5645
Mailing Address - Street 1:235 FIRST ST.
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43605-2041
Mailing Address - Country:US
Mailing Address - Phone:419-693-5645
Mailing Address - Fax:419-255-5847
Practice Address - Street 1:235 1ST ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43605-2041
Practice Address - Country:US
Practice Address - Phone:419-693-5645
Practice Address - Fax:419-693-5645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1939198251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3066159Medicaid
OH2695641Medicaid