Provider Demographics
NPI:1447647821
Name:SPERO REHABILITATION LLC
Entity type:Organization
Organization Name:SPERO REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONDE
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:WILTCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-395-9090
Mailing Address - Street 1:23225 KINGSLAND BLVD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2868
Mailing Address - Country:US
Mailing Address - Phone:281-395-9090
Mailing Address - Fax:281-395-9091
Practice Address - Street 1:23225 KINGSLAND BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2868
Practice Address - Country:US
Practice Address - Phone:281-395-9090
Practice Address - Fax:281-395-9091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001463332B00000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment