Organization Active NPI

Inspired Healthcare Staffing LLC

  • In Home Supportive Care Agency
  • McComb, MS
National Provider Identifier
1164126264
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INSPIRED HEALTHCARE STAFFING LLC
Practice address
612 Delaware Ave Ste 30
McComb, MS 39648-4000
Phone
(601) 441-9489
NPI assigned
Mar 30, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Lane
Title
Owner
Phone
(601) 441-9489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

612 Delaware Ave Ste 30
McComb, MS 39648-4000

Mailing address

59 Tylertown Mesa Rd
Tylertown, MS 39667-6064
Phone (601) 441-9489

National Provider Directory

National Provider Directory

Locations

612 Delaware Ave
Ste 30
McComb, MS 39648
Phone (601) 441-9489

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1164126264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 TYLERTOWN MESA RD",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396676064",
            "telephone_number": "601-441-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 DELAWARE AVE STE 30",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484000",
            "telephone_number": "601-441-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED HEALTHCARE STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-441-9489"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.