Organization Active NPI

Inspire Community Homes LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Belleville, IL
National Provider Identifier
1881439586
Registry record updated Jun 26, 2024
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 COMMUNITY HOMES LLC
Doing business as
Inspire Community Homes LLC
Practice address
4007 Memorial Dr
Belleville, IL 62226-5338
Phone
(702) 875-1766
NPI assigned
Jun 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
AZZ KICKING MACHINE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Mr. Demingo CollinsNPI 1518724673
Title
President / Chief Executive Officer
Phone
(618) 954-6615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4007 Memorial Dr
Belleville, IL 62226-5338

Mailing address

613 Laurelwood CT
O Fallon, IL 62269-7064
Phone (618) 954-6615

Other names 1

  • Inspire Community Homes LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Inspire Community Homes LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1881439586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 LAURELWOOD CT",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622697064",
            "telephone_number": "618-954-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 MEMORIAL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265338",
            "telephone_number": "702-875-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE COMMUNITY HOMES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AZZ KICKING MACHINE LLC",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DEMINGO",
        "authorized_official_title_or_position": "PRESIDENT / CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "618-954-6615",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspire Community Homes LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.