Provider Demographics
NPI:1982434502
Name:A SPARK OF HOPE HOME CARE L.L.C.
Entity type:Organization
Organization Name:A SPARK OF HOPE HOME CARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TENISHA
Authorized Official - Middle Name:LASHOUN
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:313-980-0290
Mailing Address - Street 1:36038 HUNTER AVE APT 11304
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-6656
Mailing Address - Country:US
Mailing Address - Phone:313-693-5509
Mailing Address - Fax:
Practice Address - Street 1:36038 HUNTER AVE APT 11304
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-6656
Practice Address - Country:US
Practice Address - Phone:313-693-5509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care