Spark of Hope Care Inc,

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

VN 203026 Issued in CA

Legal business name

SPARK OF HOPE CARE INC,

Practice address

690 E Cerritos St
Rialto, CA 92376-3601

Phone

(909) 532-4840

NPI assigned

Apr 29, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Venus Sharnell Carter, LVN

Title

Ceo

Phone

(909) 532-4840

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venus Sharnell Brooks, LVN

  • Licensed Vocational Nurse
  • Rialto, CA
  • NPI 1306234869
  NPD (past)

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

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493424000000",
    "number": "1871028688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E CERRITOS ST",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763601",
            "telephone_number": "909-532-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E CERRITOS ST",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763601",
            "telephone_number": "909-532-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK OF HOPE CARE INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-29",
        "last_updated": "2017-04-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "VENUS",
        "authorized_official_middle_name": "SHARNELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-532-4840",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "CA",
            "license": "VN 203026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica St. Jules, PA- C
• Tarnia Shabid Stanley
• Amy Steelman, MSW

• Pediatric Skilled Nursing Facility in Rialto, CA
• Providers in Rialto, CA by specialty
• Pediatric Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2017; 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.