Provider Demographics
NPI:1578899324
Name:SPENCE SERVICES, INC.
Entity Type:Organization
Organization Name:SPENCE SERVICES, INC.
Other - Org Name:RIGHT AT HOME OF ENGLEWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:F
Authorized Official - Last Name:SPENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-567-4861
Mailing Address - Street 1:409 GRAND AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-4100
Mailing Address - Country:US
Mailing Address - Phone:201-567-4861
Mailing Address - Fax:201-567-4863
Practice Address - Street 1:409 GRAND AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-4100
Practice Address - Country:US
Practice Address - Phone:201-567-4861
Practice Address - Fax:201-567-4863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0131200251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ140167149AMedicare Oscar/Certification