Spectrum of Light Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SPECTRUM OF LIGHT HOME CARE, LLC

Practice address

635 W Corona Ave Ste 215
Pueblo, CO 81004-1210

Phone

(719) 582-4761

Fax

(719) 434-9874

NPI assigned

Feb 28, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Brittany Jackson

Title

Ceo

Phone

(719) 582-4761

Specialties & licenses 1

Addresses

Tax ID family

Spectrum of Light Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spectrum of Light Home Care, LLC

  • In Home Supportive Care Agency
  • Pueblo, CO
  • NPI 1720866528
  NPD tax ID

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1912606906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W CORONA AVE STE 215",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041210",
            "telephone_number": "719-582-4761",
            "fax_number": "719-434-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W CORONA AVE STE 215",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041210",
            "telephone_number": "719-582-4761",
            "fax_number": "719-434-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM OF LIGHT HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-582-4761",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa R. Sparks, PTA
• Penny Sue Spearing, MA, LPC
• Specialized Inpatient Medical Services, LLC
• Spectrum of Light Family Services, LLC
• Spectrum of Light Home Care, LLC
• Speech-Language and Assistive Technology Services LLC
• Darren Mitchell Speier, BS CAC II
• David Allen Spencer, LCSW
• Jennifer Lynn Spencer, LICSW
• Melissa J Spidel

• In Home Supportive Care Agency in Pueblo, CO
• Providers in Pueblo, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.