Active NPI
A Spark of Possibilities
- Child Intellectual and/or Developmental Disabilities Respite Care
- Elk River, MN
National Provider Identifier
1184387474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Legal business name
- A SPARK OF POSSIBILITIES
- Practice address
- 555 Railroad Dr NW Ste D
Elk River, MN 55330-1469 - Phone
- (763) 260-0182
- Fax
- (763) 577-4197
- NPI assigned
- Oct 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lanalee Lambrecht, BNS, PHN
- Title
- Ceo
- Phone
- (763) 260-0182
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Respite Care | 385H00000X | |||
| Respite Care Camp | 385HR2050X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
555 Railroad Dr NW Ste D
Elk River, MN 55330-1469
Mailing address
555 Railroad Dr NW Ste D
Elk River, MN 55330-1469
Phone (763) 260-1820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487255121 | Medicaid | MN |
Other names 1
- Spark 2 Hope
National Provider Directory
National Provider DirectoryLocations
555 Railroad Dr NW
Ste D
Elk River, MN 55330
Phone (763) 260-0182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673395200000",
"number": "1184387474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 RAILROAD DR NW STE D",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301469",
"telephone_number": "763-260-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 RAILROAD DR NW STE D",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301469",
"telephone_number": "763-260-0182",
"fax_number": "763-577-4197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A SPARK OF POSSIBILITIES",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-14",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A",
"authorized_official_last_name": "LAMBRECHT",
"authorized_official_first_name": "LANALEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "763-260-0182",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BNS, PHN"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2050X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care Camp",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487255121",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Spark 2 Hope",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Spark 2 Hope",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.