OrganizationActive
Hydration Spark LLC
NPI 1629709605 · Infusion Therapy Clinic/Center · Cleveland, OH
Provider details
- NPI number
- 1629709605
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jabulani Sidile, Medical Director(513) 633-0088
Specialties & taxonomies
Ambulatory Health Care Facilities
- Home Infusion Agency251F00000X
Agencies
- Pain Clinic/Center261QP3300X
Ambulatory Health Care Facilities
- Oncology Clinic/Center261QX0200X
Ambulatory Health Care Facilities
- Home Infusion Therapy Pharmacy3336H0001X
Suppliers
Practice location
1118 Euclid Ave Ste B
Cleveland, OH 44115-1627
Phone: (216) 293-5252
Approximate (ZIP-level) locationGet directions
Mailing address
1118 Euclid Ave Ste B
Cleveland, OH 44115-1627
Registry dates
- Enumerated
- 2022-06-21
- Last updated
- 2023-03-09
- Certified
- 2023-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.