Provider Demographics
NPI:1720834658
Name:INSPIRATION HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:INSPIRATION HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KLAVERWEIDEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:410-831-3899
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21826-0010
Mailing Address - Country:US
Mailing Address - Phone:410-831-3899
Mailing Address - Fax:443-210-2786
Practice Address - Street 1:103 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FRUITLAND
Practice Address - State:MD
Practice Address - Zip Code:21826-1604
Practice Address - Country:US
Practice Address - Phone:410-831-3899
Practice Address - Fax:443-210-2786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-30
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty