NPIMap

Organization Active NPI

Inspire Targeted Case Management Agency LLC

  • Case Management Agency
  • Lakeland, FL
National Provider Identifier
1275992588
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INSPIRE TARGETED CASE MANAGEMENT AGENCY LLC
Practice address
929 Gilmore Ave
Apt. 76
Lakeland, FL 33801
Phone
(863) 272-1933
Fax
(239) 302-1344
NPI assigned
Feb 15, 2016
Organization subpart
Yes
Parent organization
INSPIRE TARGETED CASE MANAGEMENT AGENCYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Mrs. Ann Violet Lockhart
Title
Owner
Phone
(407) 535-3857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X FL Primary

Addresses

Primary practice location

929 Gilmore Ave
Apt. 76
Lakeland, FL 33801

Mailing address

579 Finch CT
Kissimmee, FL 34759
Phone (863) 272-1933

Other identifiers 1

IdentifierTypeStateIssuer
1457719742MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Inspire Targeted Case Management Agency LLC2 organizations share this tax ID, including this one
Part of
Inspire Targeted Case Management Agency LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1275992588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 FINCH CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34759",
            "telephone_number": "863-272-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 GILMORE AVE",
            "address_2": "APT. 76",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33801",
            "telephone_number": "863-272-1933",
            "fax_number": "239-302-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE TARGETED CASE MANAGEMENT AGENCY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSPIRE TARGETED CASE MANAGEMENT AGENCY",
        "enumeration_date": "2016-02-15",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "VIOLET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-535-3857",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457719742",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.