Provider Demographics
NPI:1528834587
Name:SPARKLING HOMECARE FOR SENIORS LLC
Entity type:Organization
Organization Name:SPARKLING HOMECARE FOR SENIORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MILLICENT
Authorized Official - Middle Name:
Authorized Official - Last Name:ANIGWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-794-7599
Mailing Address - Street 1:7348 PARKRIDGE BLVD APT 249
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-8364
Mailing Address - Country:US
Mailing Address - Phone:469-794-7599
Mailing Address - Fax:972-692-5454
Practice Address - Street 1:7348 PARKRIDGE BLVD APT 249
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-8364
Practice Address - Country:US
Practice Address - Phone:469-794-7599
Practice Address - Fax:972-692-5454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty