Bold Spark, Inc.

LBN: Bold Spark, Inc.
Bold Spark, Inc. is an health care organization with primary practice located at 820 S Bartlett Rd Ste 106B , Streamwood IL 60107-2407. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Bold Spark, Inc. can be contacted via phone (224) 318-7554, or through Liebold, Karen V. via phone (630) 329-6709.

Contact Information

Primary practice address
820 S Bartlett Rd Ste 106B Streamwood IL 60107-2407
Phone: (224) 318-7554
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liebold, Karen V.
Phone: (630) 329-6709

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1043072218
LBN Legal business name Bold Spark, Inc.
DBA Doing business as
Authorized official Liebold, Karen V.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 24th, 2024
Last updated May 22nd, 2024 - about 7 months 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 1043072218 NPPES
Other 1245414465 NPI

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