Organization Active NPI

Inspire Advocacy Support Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Clermont, FL
National Provider Identifier
1720732670
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
INSPIRE ADVOCACY SUPPORT SERVICES LLC
Practice address
16017 Johns Lake Rd
Clermont, FL 34711-9013
Phone
(352) 978-5554
Fax
(352) 702-6382
NPI assigned
Feb 9, 2022
Last updated
Feb 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Katreena Malik
Title
Owner
Phone
(352) 978-5554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

16017 Johns Lake Rd
Clermont, FL 34711-9013

Mailing address

16017 Johns Lake Rd
Clermont, FL 34711-9013
Phone (352) 978-5554

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1720732670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16017 JOHNS LAKE RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347119013",
            "telephone_number": "352-978-5554",
            "fax_number": "352-702-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16017 JOHNS LAKE RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347119013",
            "telephone_number": "352-978-5554",
            "fax_number": "352-702-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE ADVOCACY SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "KATREENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-978-5554"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.