Healthcare Provider Details

I. General information

NPI: 1245607928
Provider Name (Legal Business Name): SPENDYLOVE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2015
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 NAPLES AVE
CLIFFWOOD NJ
07721-1316
US

IV. Provider business mailing address

8 NAPLES AVE
CLIFFWOOD NJ
07721-1316
US

V. Phone/Fax

Practice location:
  • Phone: 732-791-3167
  • Fax:
Mailing address:
  • Phone: 732-791-3167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0239500
License Number StateNJ

VIII. Authorized Official

Name: MR. MAXWELL MENSAH
Title or Position: BIOCHEMIST
Credential:
Phone: 732-791-3167