Vandeweel Smetana Enterprises

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VANDEWEEL SMETANA ENTERPRISES

Doing business as

Spark Specialized Services

Practice address

13875 Hall Rd
Chardon, OH 44024-8924

Phone

(440) 417-2376

NPI assigned

May 5, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Mitchell Vandeweel

Title

Ceo

Phone

(440) 417-2376

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spark Specialized Services Doing business as

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1467073106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13875 HALL RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440248924",
            "telephone_number": "440-417-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13875 HALL RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440248924",
            "telephone_number": "440-417-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDEWEEL SMETANA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "VANDEWEEL",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-417-2376",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298968331",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spark Specialized Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Valentic, MSN, CNP, CRNFA
• Elisa Valentine
• Jane Ellen Valvoda, MS. RD. LD. CDE.
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• Trisha Barnes Vance, OD
• Karen Lynn Vanscoyoc
• Brian Vanwinkle
• Shangari Varatharajan
• Sandy Vasquez-Garcia
• Michael Sam Vaysman, DO

• Home Health Agency in Chardon, OH
• Providers in Chardon, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.