SPARADISE LLC
NPI 1568174241
Clinic/Center - Multi-Specialty in Vancouver, WA

Q: What is Sparadise LLC's NPI number?

The NPI number for Sparadise LLC is 1568174241. It was assigned to this organization in the NPPES registry on December 14, 2022. The provider is doing business as Fancy Fun. The provider was formerly known as Clearwater Escape llc.

Q: What is Sparadise LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Q: When was this NPI record last updated?

The NPPES record for Sparadise LLC was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 14, 2022

14602 NE FOURTH PLAIN BLVD STE A, VANCOUVER, WA 98682(608) 928-1913 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sparadise Llc NPPES

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

SPARADISE LLC (NPI 1568174241), doing business as Fancy Fun, is a healthcare organization registered as a multi-specialty in Vancouver, Washington and active in the NPI registry since December 2022. The organization lists Kristen Clearwater, Owner, as its authorized official.

NPPES Registry Identity

NPI1568174241

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameSPARADISE LLC

Location Address14602 NE FOURTH PLAIN BLVD STE AVancouver, WA 98682-5080

Mailing Address14602 Ne Fourth Plain Blvd Ste AVancouver, WA 98682-5080 · (360) 606-1694

Phone(608) 928-1913

Organization SubpartNo

Authorized OfficialKristen ClearwaterOwner · (360) 606-1694

Enumeration DateDecember 14, 2022

NPPES CertifiedDecember 14, 2022

✔ NPI 1568174241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

14602 NE FOURTH PLAIN BLVD STE A, Vancouver, WA 98682

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Other Names 2

Doing Business AsFancy Fun

Former Legal Business NameClearwater Escape Llc

Other Providers at the Same Location NPPES

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

KRISTEN K CLEARWATER LMP

Specialist

14602 NE FOURTH PLAIN BLVD STE A
VANCOUVER, WA 98682

Clark County (360) 606-1694

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 Sparadise LLC's NPI number?

The NPI number for Sparadise LLC is 1568174241. It was assigned to this organization in the NPPES registry on December 14, 2022. The provider is doing business as Fancy Fun. The provider was formerly known as Clearwater Escape llc.

Where is Sparadise LLC located?

Sparadise LLC is located at 14602 NE Fourth Plain Blvd Ste A, Vancouver, WA 98682. The listed phone number is (608) 928-1913.

What is Sparadise LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Sparadise LLC was last updated on December 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.