Organization
A SPARKLE OF ROSES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL ANN TALLEY (ADMINISTRATIVE COMPLIANCE OFFICER)
(380) 239-5252
Entity
Organization
Contact information
Practice address
1130 CARBONE DR, COLUMBUS, OH 43224-2014
(614) 867-6968
Mailing address
1130 CARBONE DR, COLUMBUS, OH 43224-2014
(614) 867-6968
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2538543
—
OH
05
—
2749119
—
OH
Enumeration date
09/26/2025
Last updated
09/26/2025
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