Organization Active NPI

Skylight Spark LLC

  • Durable Medical Equipment & Medical Supplies
  • Cedar Park, TX
National Provider Identifier
1174366751
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SKYLIGHT SPARK LLC
Practice address
1400 Little Elm TRL Unit 1204
Cedar Park, TX 78613-2863
Phone
(737) 510-7234
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Ashraf Rajwani
Title
Owner
Phone
(737) 510-7234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1400 Little Elm TRL Unit 1204
Cedar Park, TX 78613-2863

Mailing address

1400 Little Elm TRL Unit 1204
Cedar Park, TX 78613-2863
Phone (737) 510-7234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1174366751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LITTLE ELM TRL UNIT 1204",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132863",
            "telephone_number": "737-510-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LITTLE ELM TRL UNIT 1204",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132863",
            "telephone_number": "737-510-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLIGHT SPARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "RAJWANI",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-510-7234"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.