Provider Demographics
NPI:1386364230
Name:INSPIRE RESIDENTIAL CARE LLC
Entity type:Organization
Organization Name:INSPIRE RESIDENTIAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICE
Authorized Official - Prefix:MR
Authorized Official - First Name:BIGY
Authorized Official - Middle Name:N/A
Authorized Official - Last Name:MASHAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-618-0738
Mailing Address - Street 1:577 US ROUTE 1 UNIT B205
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-1312
Mailing Address - Country:US
Mailing Address - Phone:207-618-0738
Mailing Address - Fax:
Practice Address - Street 1:577 US ROUTE 1 UNIT B205
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-1312
Practice Address - Country:US
Practice Address - Phone:207-618-0738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty