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PEDIATRIC DIRECT CARE
NPI 1154957942
Nursing Care in Denver, CO

Active since March 12, 2020
1325 S COLORADO BLVD STE B312, DENVER, CO 80222(720) 479-8952(888) 981-8064 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2023, Mar 12, 2020 (2 updates tracked since 2020).

About Pediatric Direct Care NPPES

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

PEDIATRIC DIRECT CARE (NPI 1154957942) is a healthcare organization registered as a nursing care in Denver, Colorado and active in the NPI registry since March 2020. The organization lists Suzanne Hakar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154957942
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameSPARK HEALTH AT HOME LLC
Location Address1325 S COLORADO BLVD STE B312Denver, CO 80222-3335
Mailing Address1325 S Colorado Blvd Ste B312Denver, CO 80222-3335 · (720) 479-8952 · Fax (888) 981-8064
Phone(720) 479-8952
Fax(888) 981-8064
Organization SubpartNo
Authorized OfficialSuzanne HakarCeo · (720) 479-8952
Enumeration DateMarch 12, 2020
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
✔ NPI 1154957942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

Also ListedSocial WorkerTaxonomy 104100000X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedPhysical Therapy AssistantTaxonomy 225200000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Emergency CareTaxonomy 261QE0002X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
1325 S COLORADO BLVD STE B312, Denver, CO 80222
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Other Names 1

Doing Business AsPediatric Direct Care

Other Identifiers 1

Medicaid9000181113CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2188641

Spark Health At Home, LLC · Denver, CO
Expired · Jul 19, 2026
CLIA Number06D2188641
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2024
Certificate Expiration DateJuly 19, 2026
Laboratory DirectorAnna C. Edwards
Laboratory Phone(720) 479-8952
Laboratory LocationSpark Health At Home, LLC1325 S Colorado Blvd, Denver, CO 80222
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPARK HOME HEALTH, LLC
Home Health
1325 S COLORADO BLVD STE B312
DENVER, CO 80222
Denver County (720) 951-0258
WHITNEY FOSTER OT
Occupational Therapist
1325 S COLORADO BLVD STE B312
DENVER, CO 80222
Denver County (720) 479-8952
JENNY MARIE VAIL-STENCEL MA, CCC-SLP
Speech-Language Pathologist
1325 S COLORADO BLVD STE B312
DENVER, CO 80222
Denver County (720) 230-8235
HANNAH JO HILLYER
Speech-Language Pathologist
1325 S COLORADO BLVD STE B312
DENVER, CO 80222
Denver County (729) 479-8952

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 Spark Health At Home LLC's NPI number?

The NPI number for Spark Health At Home LLC is 1154957942. It was assigned to this organization in the NPPES registry on March 12, 2020. The provider is doing business as Pediatric Direct Care.

Where is Spark Health At Home LLC located?

Spark Health At Home LLC is located at 1325 S Colorado Blvd Ste B312, Denver, CO 80222. The listed phone number is (720) 479-8952.

What is Spark Health At Home LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Spark Health At Home LLC was last updated on January 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.