1790822724 NPI number — INSPIRE HOME RESPIRATORY SERVICES INC.

Table of content: (NPI 1790822724)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790822724 NPI number — INSPIRE HOME RESPIRATORY SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INSPIRE HOME RESPIRATORY SERVICES 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:
Provider Other Organization Name Type Code:
6
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:
1790822724
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 440274
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37244-0274
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-365-0333
Provider Business Mailing Address Fax Number:
615-365-0359

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9420 OOLTEWAH INDUSTRIAL BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OOLTEWAH
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37363-7830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-238-7840
Provider Business Practice Location Address Fax Number:
423-238-7898
Provider Enumeration Date:
01/31/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KEEN
Authorized Official First Name:
GLORIA
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF OPERATING OFFICER
Authorized Official Telephone Number:
615-365-0333

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  0000000811 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1454957 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: TN0100 . This is a "UHC JOHN DEERE-NASHVILLE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 1452057 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4087856 . This is a "BCBS TN, TNCARE, BLUECARE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: TN0100 . This is a "UHC, JOHN DEERE-OOLTEWAH" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




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