Provider Demographics
NPI:1093409286
Name:ASPARK INC
Entity Type:Organization
Organization Name:ASPARK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ASPARK
Authorized Official - Middle Name:
Authorized Official - Last Name:INC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-769-3682
Mailing Address - Street 1:14809 MARGARET PL
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-2102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14809 MARGARET PL
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-2102
Practice Address - Country:US
Practice Address - Phone:952-769-3682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services