Individual ProviderAdria SparksCase Manager/Care CoordinatorOther Service ProvidersPractice Address1201 Terminal Way Ste 217, Reno, NV 89502-3258(775) 624-8200PECOS EnrollmentBased on the most recent information from CMS, provider Adria Sparks does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1093362014Provider TypeIndividualFull NameSparks, AdriaGenderFemaleSole ProprietorNoEnumeration Date8/23/2019Last Updated8/23/2019Contact InformationPractice LocationPractice Address1201 Terminal Way Ste 217, Reno, NV 89502-3258Phone(775) 624-8200Fax(775) 624-8222Mailing LocationMailing Address1201 Terminal Way Ste 217, Reno, NV 89502-3258Phone(775) 624-8200Fax(775) 624-8222Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer