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Contact Information

SPARK HEALTH AT HOME LLC
1325 S COLORADO BLVD STE B312
DENVER, CO80222-3335
 Phone: 720-479-8952
 Fax: 888-981-8064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Case Manager/Care Coordinator

171M00000X
 

Clinic/Center

261Q00000X
 

Early Intervention Provider Agency

252Y00000X
 

Emergency Care

261QE0002X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Occupational Therapy Assistant

224Z00000X
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physical Therapy Assistant

225200000X
 

Registered Nurse

163W00000X
 

Social Worker

104100000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for SPARK HEALTH AT HOME LLC

NPI Number 1154957942
LBN Legal business name SPARK HEALTH AT HOME LLC
Authorized official SUZANNE HAKAR - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2020
Last updated 01/05/2023 - About 3 years ago
Identifiers
CO Medicaid 9000181113
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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