Pediatric Direct Care

LBN: Spark Health At Home Llc
Pediatric Direct Care is an health care organization with primary practice located at 1325 S Colorado Blvd Ste B312 , Denver CO 80222-3335. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Nursing Service Providers / Registered Nurse, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Adolescent Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Nursing Care, Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Emergency Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Agencies / Nursing Care is the primary health care specialty. Spark Health At Home Llc can be contacted via phone (720) 479-8952, or through Hakar, Suzanne via phone (720) 479-8952.

Contact Information

Primary practice address
1325 S Colorado Blvd Ste B312 Denver CO 80222-3335
Phone: (720) 479-8952
Fax: (888) 981-8064
Website:
Map and Directions
Authorized official contact:
Name: Hakar, Suzanne
Phone: (720) 479-8952

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Nursing Service Providers / Registered Nurse 163W00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Nursing Care 251J00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Emergency Care 261QE0002X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1154957942
LBN Legal business name Spark Health At Home Llc
DBA Doing business as Pediatric Direct Care
Authorized official Hakar, Suzanne
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2020
Last updated Jan 5th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154957942 NPPES
Colorado MEDICAID 9000181113

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