Spark Recovery Llc

LBN: Spark Recovery Llc
Spark Recovery Llc is an health care organization with primary practice located at 2375 University Ave W Ste 200 , Saint Paul MN 55114-1678. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Spark Recovery Llc can be contacted via phone (612) 702-9499, or through Mohamed, Hanad Yussuf via phone (612) 702-9499.

Contact Information

Primary practice address
2375 University Ave W Ste 200 Saint Paul MN 55114-1678
Phone: (612) 702-9499
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mohamed, Hanad Yussuf
Phone: (612) 702-9499

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1881316461
LBN Legal business name Spark Recovery Llc
DBA Doing business as
Authorized official Mohamed, Hanad Yussuf
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2022
Last updated Sep 12th, 2022 - about 2 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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