Inspirations Group Home, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

445542 Issued in AZ

Legal business name

INSPIRATIONS GROUP HOME, LLC

Practice address

7113 S 7TH LN
Phoenix, AZ 85041-6766

Phone

(602) 323-2601

Fax

(602) 476-6980

NPI assigned

Nov 4, 2009

Last updated

Dec 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Hallback

Title

Managing Director / Owner

Phone

(602) 794-7695

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1659608123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 S 7TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416766",
            "telephone_number": "602-323-2601",
            "fax_number": "602-476-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7113 S 7TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416766",
            "telephone_number": "602-323-2601",
            "fax_number": "602-476-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRATIONS GROUP HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "HALLBACK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING DIRECTOR / OWNER",
        "authorized_official_telephone_number": "602-794-7695"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "445542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA DIVISION OF DEVELOPMENTAL DISABILITIES / AHCCCS",
            "identifier": "445542",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Inspire, Inc.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.