Hydration Spark LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

HYDRATION SPARK LLC

Practice address

1118 Euclid Ave Ste B
Cleveland, OH 44115-1627

Phone

(216) 293-5252

NPI assigned

Jun 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jabulani Sidile, MD

Title

Medical Director

Phone

(513) 633-0088

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1629709605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 EUCLID AVE STE B",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151627",
            "telephone_number": "216-293-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 EUCLID AVE STE B",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151627",
            "telephone_number": "216-293-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDRATION SPARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "SIDILE",
        "authorized_official_first_name": "JABULANI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "513-633-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thach Cam Huynh
• Catherine J Hwang, MD
• John Hwang, PHARM D
• Derrick Lamar Hyche Sr., LPN
• Madeleine Hyde
• Jessica L Hyla, LPC
• Bradley Warren Hylan, D.M.D
• Jennifer Hyland, RD, CSP, LD
• Jennifer L Hyland, CNP
• Mary Hyland

• Infusion Therapy Clinic/Center in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Infusion Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.