Empress 2 Inspire , LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMPRESS 2 INSPIRE , LLC

Practice address

3104 Carskaddon Ave Apt 304
Toledo, OH 43606-1615

Phone

(419) 901-1056

NPI assigned

Mar 17, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly Faith Temple, CFLENPI 1235632092

Title

Ceo/Owner

Phone

(567) 343-2661

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Faith Temple, CFLE

  • Case Manager/Care Coordinator
  • Toledo, OH
  • NPI 1235632092
  NPD Authorized official

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1851894620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 CARSKADDON AVE APT 304",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061615",
            "telephone_number": "419-901-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 CARSKADDON AVE APT 304",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061615",
            "telephone_number": "419-901-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRESS 2 INSPIRE , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "TEMPLE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "567-343-2661",
        "authorized_official_credential": "CFLE"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.