Spark Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SPARK HOME CARE LLC

Practice address

3600 Route 66 Ste 150
Neptune, NJ 07753-2645

Phone

(732) 722-9992

NPI assigned

Apr 21, 2023

Last updated

May 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Shafir, RN

Title

Partner

Phone

(917) 805-0702

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1386331114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 66 STE 150",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532645",
            "telephone_number": "732-722-9992",
            "fax_number": "732-242-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 66 STE 150",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532645",
            "telephone_number": "732-722-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "SHAFIR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "917-805-0702",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julee Song, MD
• Sangchin Song, D.M.D.
• Azam Soroush, MD
• Stephanie Soussan, APN
• Brianna Collins Spahn, PA-C
• Colton Dallas Spencer
• Laura Spindler
• Joseph Louis Spitalieri
• Isrin Srisethnil, DO
• Rose M St. Fleur, M.D.

• In Home Supportive Care Agency in Neptune, NJ
• Providers in Neptune, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.