Spark Health at Home LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

SPARK HEALTH AT HOME LLC

Practice address

1325 S Colorado Blvd Ste B312
Denver, CO 80222-3335

Phone

(720) 479-8952

Fax

(888) 981-8064

NPI assigned

Mar 12, 2020

Organization subpart

No

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

Authorized official

Name

Suzanne Hakar

Title

Ceo

Phone

(720) 479-8952

Specialties & licenses 15

Addresses

Other identifiers 1

Other names 1

• Pediatric Direct Care Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21392/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Whitney Foster, OT

  • Occupational Therapist
  • Denver, CO
  • NPI 1710668611
  NPD
• Andonia Apergis

  • Speech-Language Pathologist
  • Denver, CO
  • NPI 1306767751
  NPD (past)
• Tilly Rose Cornblatt

  • Speech-Language Pathologist
  • Denver, CO
  • NPI 1033945340
  NPD (past)
• Emily Dyer, MS, CCC-SLP

  • Speech-Language Pathologist
  • Arvada, CO
  • NPI 1659994382
  NPD (past)
• Jane Riedl, MOT, OTR/L

  • Occupational Therapist
  • Denver, CO
  • NPI 1790371284
  NPD (past)

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1154957942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S COLORADO BLVD STE B312",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223335",
            "telephone_number": "720-479-8952",
            "fax_number": "888-981-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S COLORADO BLVD STE B312",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223335",
            "telephone_number": "720-479-8952",
            "fax_number": "888-981-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK HEALTH AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "HAKAR",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-479-8952"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000181113",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Direct Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spanish Clinic LLC
• Spanish Clinic LLC
• Spanish Clinic LLC
• William Scott Spanjer, DENTIST
• Conor William Sparacio, PTA
• Spark Home Health, LLC
• Spark Transportation LLC
• Patricia Danielle Sparks, PHD
• Christa Lindsay Sparling
• Diam Michael Sparrow, RDH

• Nursing Care Agency in Denver, CO
• Providers in Denver, CO by specialty
• Nursing Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.