HYDRATION SPARK LLC; NPI #1629709605

Contact Information

HYDRATION SPARK LLC

1118 EUCLID AVE STE B
CLEVELAND, OH 44115-1627

Phone: 216-293-5252
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Infusion Therapy	261QI0500X
Home Infusion	251F00000X
Home Infusion Therapy Pharmacy	3336H0001X	58	Medical Supply Company with Pharmacist
Oncology	261QX0200X
Pain	261QP3300X

Indicates primary specialty

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NPI Profile & details for HYDRATION SPARK LLC

NPI #	`1629709605`
LBN Legal business name	HYDRATION SPARK LLC
Authorized official	JABULANI SIDILE - (MEDICAL DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/21/2022
Last updated	03/09/2023 - About 3 years ago
Identifiers	n/a

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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