Provider Demographics
NPI:1427038314
Name:HOSPICE INSPIRIS LLC
Entity type:Organization
Organization Name:HOSPICE INSPIRIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-986-9226
Mailing Address - Street 1:10 CADILLAC DRIVE
Mailing Address - Street 2:SUITE # 350
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5095
Mailing Address - Country:US
Mailing Address - Phone:615-986-9226
Mailing Address - Fax:615-986-9256
Practice Address - Street 1:2025 NORTH 3RD ST
Practice Address - Street 2:SUITE # 205
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1471
Practice Address - Country:US
Practice Address - Phone:602-462-1132
Practice Address - Fax:602-462-1186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHSPC3420163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ9299034103Medicaid
AZ031549Medicare ID - Type Unspecified
031549Medicare Oscar/Certification