Provider Demographics
NPI:1164714580
Name:SPRIGHTLY HEALTH CARE INC.
Entity Type:Organization
Organization Name:SPRIGHTLY HEALTH CARE INC.
Other - Org Name:SPRIGHTLY HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:HEATON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA-MIS
Authorized Official - Phone:563-676-7424
Mailing Address - Street 1:1825 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52802-1831
Mailing Address - Country:US
Mailing Address - Phone:563-676-7424
Mailing Address - Fax:
Practice Address - Street 1:1825 W 4TH ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52802-1831
Practice Address - Country:US
Practice Address - Phone:563-676-7424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No347C00000XTransportation ServicesPrivate Vehicle