Healthcare Provider Details

I. General information

NPI: 1356793186
Provider Name (Legal Business Name): SPEARS HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2016
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2459 ROOSEVELT HWY STE C21D
COLLEGE PARK GA
30337-5593
US

IV. Provider business mailing address

2459 ROOSEVELT HWY STE C21D
COLLEGE PARK GA
30337-5593
US

V. Phone/Fax

Practice location:
  • Phone: 404-751-5090
  • Fax:
Mailing address:
  • Phone: 404-751-5090
  • Fax: 404-343-0433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. CEDRICK LEE SPEARS
Title or Position: FOUNDER/CEO
Credential:
Phone: 931-801-1866