Spark Life Services
Organization Active NPI Community Based Hospice Care Agency · Sarepta, LA
NPI 1184769754 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1184769754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- PCA3697 (LA)
- Legal business name
- SPARK LIFE SERVICES
- Practice address
- 24456 Highway 371
Sarepta, LA 71071-3501 - Phone
- (318) 847-4356
- Fax
- (318) 847-4644
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amy Vollmer
- Title
- Executive Director
- Phone
- (318) 847-4356
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Spark Life Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community Based Hospice Care Agency | 251G00000X | PCA3697 | LA | Yes |
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
24456 Highway 371
Sarepta, LA 71071-3501
Mailing address
PO Box 351
Sarepta, LA 71071-0351
Phone (318) 847-4356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1462187 | Medicaid | LA |
Other providers in Sarepta, LA
- Tynekia Marie Frazier
- Labreda Gray
- Allie Morgan
- Tori Pesses Morgan
- Brian M. Smith
- Spark Life Services
- Spark Life Services
- Spark Life Services
- Spark Life Services
- Spark Life Services
All providers in Sarepta, LA · Community Based Hospice Care Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.