1649449281 NPI number — INSPIRITUS, INC.

Table of content: (NPI 1649449281)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649449281 NPI number — INSPIRITUS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INSPIRITUS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LUTHERAN SERVICES OF GEORGIA, INC.
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649449281
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/24/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1414
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALISBURY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28145
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-603-2870
Provider Business Mailing Address Fax Number:
704-637-2950

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
230 PEACHTREE STREET NW
Provider Second Line Business Practice Location Address:
SUITE 1100
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-875-0201
Provider Business Practice Location Address Fax Number:
404-875-9258
Provider Enumeration Date:
02/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
NICKERSON
Authorized Official First Name:
KIRBY
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
704-754-8228

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000916726C , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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