HYDRATION SPARK LLC NPI 1629709605

NPI Information

  • NPI: 1629709605
  • Provider Name: HYDRATION SPARK LLC
  • Classification: Clinic/Center - 261QI0500X
  • Specialization: Infusion Therapy
  • Entity Type: Organization
  • Address: 1118 EUCLID AVE STE B
    CLEVELAND, OH
    ZIP 44115
  • Phone: (216) 293-5252

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NPI Details

HYDRATION SPARK LLC is an infusion therapy clinic center in Cleveland, OH. HYDRATION SPARK LLC NPI is 1629709605. The provider is registered as an organization entity type.

The provider's business location address is:

1118 EUCLID AVE STE B
CLEVELAND, OH
ZIP 44115-627
Phone: (216) 293-5252

The provider's authorized official is Jabulani Sidile .
The authorized official title is Medical Director and has the following contact phone number (513) 633-0088.

The enumeration date for this NPI number is 6/21/2022 and was last updated on 3/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251F00000XHome InfusionNo
2261QP3300XClinic/CenterPainNo
3261QX0200XClinic/CenterOncologyNo
43336H0001XPharmacyHome Infusion Therapy PharmacyNo
5261QI0500XClinic/CenterInfusion TherapyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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