Promo Spark Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROMO SPARK SERVICES LLC

Practice address

8403 Eastwood Ave
Youngstown, FL 32466-2132

Phone

(242) 522-9889

NPI assigned

Oct 15, 2026

Last updated

Oct 15, 2026By 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

Kotch Quellette

Title

Ceo

Phone

(242) 522-9889

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1508762816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22424 IMPERIAL VALLEY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731163",
            "telephone_number": "242-522-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 EASTWOOD AVE",
            "city": "YOUNGSTOWN",
            "state": "FL",
            "postal_code": "324662132",
            "telephone_number": "242-522-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMO SPARK SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A",
        "authorized_official_last_name": "QUELLETTE",
        "authorized_official_first_name": "KOTCH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "242-522-9889"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.