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SPARK RECOVERY LLC
NPI 1881316461
Clinic/Center - Rehabilitation, Substance Use Disorder in Saint Paul, MN

Active since September 12, 2022
2375 UNIVERSITY AVE W STE 200, SAINT PAUL, MN 55114(612) 702-9499 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spark Recovery Llc NPPES

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

SPARK RECOVERY LLC (NPI 1881316461) is a healthcare organization registered as a rehabilitation, substance use disorder in Saint Paul, Minnesota and active in the NPI registry since September 2022. The organization lists Hanad Yussuf Mohamed, Owner, as its authorized official.

NPPES Registry Identity

NPI1881316461
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSPARK RECOVERY LLC
Location Address2375 UNIVERSITY AVE W STE 200Saint Paul, MN 55114-1678
Mailing Address2375 University Ave W Ste 200Saint Paul, MN 55114-1678
Phone(612) 702-9499
Organization SubpartNo
Authorized OfficialHanad Yussuf MohamedOwner · (612) 702-9499
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1881316461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
2375 UNIVERSITY AVE W STE 200, Saint Paul, MN 55114
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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 Spark Recovery LLC's NPI number?

The NPI number for Spark Recovery LLC is 1881316461. It was assigned to this organization in the NPPES registry on September 12, 2022.

Where is Spark Recovery LLC located?

Spark Recovery LLC is located at 2375 University Ave W Ste 200, Saint Paul, MN 55114. The listed phone number is (612) 702-9499.

What is Spark Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Spark Recovery LLC was last updated on September 12, 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.