Spark Family Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197608842 Issued in CA

Legal business name

SPARK FAMILY OPERATIONS, LLC

Practice address

8717 W Olympic Blvd
Los Angeles, CA 90035-1907

Phone

(310) 659-4301

Fax

(310) 659-7562

NPI assigned

Apr 13, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Sung Nam Park

Title

Administrator

Phone

(310) 770-0538

Specialties & licenses 1

Addresses

Other names 1

• Sunny Hills Assisted Living (Memory Care) Other name

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1972999357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351907",
            "telephone_number": "310-659-4301",
            "fax_number": "310-659-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351907",
            "telephone_number": "310-659-4301",
            "fax_number": "310-659-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK FAMILY OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUNG NAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-770-0538",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunny Hills Assisted Living (Memory Care)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• George Kostas Spanos, M.D.
• Carol J Spar, M.D.
• James Edward Spar, MD
• Merrill Tremayne Sparago, M.D.
• James Byford Sparing, M.D.
• Spark Kids Collective
• Shane William Sparkes, MSW, PHD
• Bernice A Sparks, RN
• Daniel Sparks
• Hiro Dakota Sparks, MD

• Assisted Living Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.