Spark of Life in Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SPARK OF LIFE IN HOME CARE SERVICES LLC

Practice address

22 Heritage Dr Apt B
Windsor, CT 06095-2740

Phone

(727) 353-2939

Fax

(727) 748-0561

NPI assigned

May 21, 2025

Organization subpart

No

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

Authorized official

Name

Raxonne A Copeland, PROVIDER

Title

Sole MBR

Phone

(727) 353-2939

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1487446829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HERITAGE DR APT B",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952740",
            "telephone_number": "727-353-2939",
            "fax_number": "727-748-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HERITAGE DR APT B",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952740",
            "telephone_number": "727-353-2939",
            "fax_number": "727-748-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK OF LIFE IN HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "RAXONNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "727-353-2939",
        "authorized_official_credential": "PROVIDER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Windsor, CT
• Providers in Windsor, CT by specialty
• In Home Supportive Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.