Provider Demographics
NPI:1306602131
Name:INSPIRATIONAL CARE
Entity type:Organization
Organization Name:INSPIRATIONAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:LANE
Authorized Official - Last Name:ELLISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-210-6679
Mailing Address - Street 1:6000 OLD PALMETTO BLF
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-7833
Mailing Address - Country:US
Mailing Address - Phone:240-210-6679
Mailing Address - Fax:
Practice Address - Street 1:6000 OLD PALMETTO BLF
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-7833
Practice Address - Country:US
Practice Address - Phone:240-210-6679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health