MEDICARE: THE SPARKS GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	1-062876	MD

General Provider Information

NPI Number	:	1871857623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SPARKS GROUP, LLC

Provider Business Mailing Address
First Line	:	4119 ELLIS ST
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-5756
Country	:	US
Telephone Number	:	301-219-8190
Fax Number	:

Provider Business Practice Location Address
First Line	:	3547 CARRIAGE WALK LN
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20724-2052
Country	:	US
Telephone Number	:	301-219-8190
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. BEVERLY TWITTY
Credential	:	M.S.
Telephone Number	:	301-219-8190

Provider Enumeration Date	:	06/26/2012
Last Update Date	:	06/26/2012

Similar Medicare Providers

1174071757 — APRIL DANIELLE IVEY LCSW-C
Practice Location Address:

3555 CARRIAGE WALK LN
LAUREL, MD
20724-2052

Practice Phone: 703-901-9223
Practice Fax:

1568235992 — LIVINGWELL HEALTH SERVICES
Practice Location Address:

3543 CARRIAGE WALK LN
LAUREL, MD
20724-2052

Practice Phone: 240-547-7050
Practice Fax:

1487133260 — SUZANNE JOY MCGAHA MS
Practice Location Address:

13119 PINE LAUREL CT
HOUSTON, TX
77082-2052

Practice Phone: 713-922-9221
Practice Fax:

1801563523 — DISTINCT SPEECH SOLUTIONS, PLLC
Practice Location Address:

13119 PINE LAUREL CT # 989
HOUSTON, TX
77082-2052

Practice Phone: 713-922-9221
Practice Fax:

1245192590 — GRACE M OLUBENA
Practice Location Address:

8801 ENFIELD CT APT 31
LAUREL, MD
20708-2052

Practice Phone: 908-937-7201
Practice Fax:

1780682765 — SUJATA QASBA M.D.
Practice Location Address:

3450 FORT MEADE RD , SUITE #103
LAUREL, MD
20724-2040

Practice Phone: 301-776-2700
Practice Fax: 301-776-4213

Directions to “THE SPARKS GROUP, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.