Provider Demographics
NPI:1245607928
Name:SPENDYLOVE HOME CARE
Entity Type:Organization
Organization Name:SPENDYLOVE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BIOCHEMIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MAXWELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-791-3167
Mailing Address - Street 1:8 NAPLES AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFFWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07721-1316
Mailing Address - Country:US
Mailing Address - Phone:732-791-3167
Mailing Address - Fax:
Practice Address - Street 1:8 NAPLES AVE
Practice Address - Street 2:
Practice Address - City:CLIFFWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07721-1316
Practice Address - Country:US
Practice Address - Phone:732-791-3167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0239500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health