SPARK TO RECOVERY INC


Address: 5449 Woodman Ave, Sherman Oaks, CA 91401-5832
Phone: 8188180202

SPARK TO RECOVERY INC (NPI# 1144867060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144867060
Entity Type Organization
Organization Name SPARK TO RECOVERY INC
Practice Address 5449 Woodman Ave
Sherman Oaks
CA 91401-5832
Practice Telephone 8188180202
Enumeration Date 2019-12-10
Last Update Date 2019-12-10
Authorized Official Name NICHOLAS MATHEWS (DIRECTOR)
Authorized Official Telephone 5037913205
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Concise Detox Center Doing Business As Name - Organization

Office Location

Street Address 5449 WOODMAN AVE
City SHERMAN OAKS
State CA
Zip Code 91401-5832

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1528442936 Service Industries, Inc. Clinic/Center 15250 Ventura Blvd, Suite 1100, Sherman Oaks, CA 91403 2015-07-15
1871929612 Twin Town Corporation Clinic/Center 4940 Van Nuys Blvd Ste 201, Sherman Oaks, CA 91403-1700 2013-09-25
1902341118 Vida Family Services Clinic/Center 4419 Van Nuys Blvd, 307, Sherman Oaks, CA 91403-2910 2016-12-23

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Competitor

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City SHERMAN OAKS
Zip Code 91401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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