Sparks Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SPARKS HOSPICE CARE LLC

Practice address

2100 S Maryland Pkwy Ste 9
Las Vegas, NV 89104-3225

Phone

(818) 267-7945

NPI assigned

Jun 7, 2022

Organization subpart

No

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

Authorized official

Name

Domingo Baccay Jr.

Title

Ceo/Cfo/Administrator

Phone

(818) 267-7945

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1801525746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S MARYLAND PKWY STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043225",
            "telephone_number": "818-267-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S MARYLAND PKWY STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043225",
            "telephone_number": "818-267-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "BACCAY",
        "authorized_official_first_name": "DOMINGO",
        "authorized_official_title_or_position": "CEO/CFO/ADMINISTRATOR",
        "authorized_official_telephone_number": "818-267-7945",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Sparacio
• Joan P Sparacio
• Emily Sparkman
• Kellie Sparkman
• Sparks Family Medicine LTD
• Amy Sparks, MD
• Ashley Sparks, LMSW, CSW-INTERN
• Carol Ann Sparks, PT, DPT
• Leland L Sparks, BS
• Madlyn Sparks, RN

• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.