Rebere Eduan Sparks

Primary specialty

Respite CareTaxonomy code 385H00000X

Practice address

5679 Wellington Rd
Lyndhurst, OH 44124-3017

Phone

(216) 673-0441

NPI assigned

Jan 18, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1932960853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5679 WELLINGTON RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243017",
            "telephone_number": "216-673-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5679 WELLINGTON RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243017",
            "telephone_number": "216-673-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "REBERE",
        "middle_name": "EDUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J Smith, PHD
• Tawonda Smith, RN
• SNF Transportation LLC
• Thomas William Snyder, D.D.S.
• South Euclid-Lyndhurst City School District
• Carol Spears
• Spectrum Diagnostic Imaging of Ohio LLC
• Reuven Spero
• Kathleen T. Spilar, M.A.
• Emily Rose St John, COTA/L

• Respite Care in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Respite Care in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.