Organization Active NPI

Inspire to Serve

  • In Home Supportive Care Agency
  • Lawrenceville, GA
National Provider Identifier
1700476744
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INSPIRE TO SERVE
Practice address
1079 Dixie Belle CT
Lawrenceville, GA 30045-3490
Phone
(718) 213-5641
NPI assigned
Jan 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Authorized official

Name
Mrs. Cheryl Angelina Bailey Lee, RN, MSN,CMSRN
Title
Administrator
Phone
(718) 213-5641

Specialties & licenses 1

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

Addresses

Primary practice location

1079 Dixie Belle CT
Lawrenceville, GA 30045-3490

Mailing address

1079 Dixie Belle CT
Lawrenceville, GA 30045-3490
Phone (718) 213-5641

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611360000000",
    "number": "1700476744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 DIXIE BELLE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453490",
            "telephone_number": "718-213-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 DIXIE BELLE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453490",
            "telephone_number": "718-213-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE TO SERVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-23",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANGELINA BAILEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-213-5641",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MSN,CMSRN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.