SPARKS RESIDENTIAL AND SUPPORT SERVICES, INC
NPI 1053850297
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pueblo, CO

Q: What is Sparks Residential And Support Services, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since February 21, 2017

507 W ABRIENDO AVE, PUEBLO, CO 81004(719) 569-7962 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 17, 2022, Feb 21, 2017 (2 updates tracked since 2017).

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About Sparks Residential And Support Services, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARKS RESIDENTIAL AND SUPPORT SERVICES, INC (NPI 1053850297) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Pueblo, Colorado and active in the NPI registry since February 2017. The organization lists Phyllis J. Sparks, President, as its authorized official.

NPPES Registry Identity

NPI1053850297

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameSPARKS RESIDENTIAL AND SUPPORT SERVICES, INC

Location Address507 W ABRIENDO AVEPueblo, CO 81004-1556

Mailing Address1762 27th LnPueblo, CO 81006-9702 · (719) 583-0710

Phone(719) 569-7962

Organization SubpartNo

Authorized OfficialPhyllis J. SparksPresident · (719) 583-0710

Enumeration DateFebruary 21, 2017

Last NPPES UpdateFebruary 17, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2022

✔ NPI 1053850297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

507 W ABRIENDO AVE, Pueblo, CO 81004

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sparks Residential And Support Services, Inc's NPI number?

The NPI number for Sparks Residential And Support Services, Inc is 1053850297. It was assigned to this organization in the NPPES registry on February 21, 2017.

Where is Sparks Residential And Support Services, Inc located?

Sparks Residential And Support Services, Inc is located at 507 W Abriendo Ave, Pueblo, CO 81004. The listed phone number is (719) 569-7962.

What is Sparks Residential And Support Services, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Sparks Residential And Support Services, Inc was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.