Organization
SPARK HEALTH AT HOME LLC
Active
Other names
Pediatric Direct Care
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE HAKAR (CEO)
(720) 479-8952
Entity
Organization
Contact information
Practice address
1325 S COLORADO BLVD STE B312, DENVER, CO 80222-3335
(720) 479-8952
(888) 981-8064
Mailing address
1325 S COLORADO BLVD STE B312, DENVER, CO 80222-3335
(720) 479-8952
(888) 981-8064
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251J00000X
Nursing Care Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000181113
—
CO
Enumeration date
03/12/2020
Last updated
01/05/2023
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