- Enrollment id
- O20180809004183
- Enrollment state
- AZ
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1427566942
- Multiple npi flag
- N
- Ccn
- 037489
- Associate id
- 6305194218
- Organization name
- INSPIRING HOME HEALTH, LLC
- Incorporation date
- 2017-10-18
- Incorporation state
- AZ
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 10000 N 31ST AVE
- Address line 2
- STE D402
- City
- PHOENIX
- State
- AZ
- Zip code
- 850511352