Provider Demographics
NPI:1629743380
Name:ISAIAH 464 LLC
Entity Type:Organization
Organization Name:ISAIAH 464 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPINOSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-447-7395
Mailing Address - Street 1:26 HOSPITALITY WAY
Mailing Address - Street 2:
Mailing Address - City:ENGLISHTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-1646
Mailing Address - Country:US
Mailing Address - Phone:732-447-7395
Mailing Address - Fax:
Practice Address - Street 1:26 HOSPITALITY WAY
Practice Address - Street 2:
Practice Address - City:ENGLISHTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07726-1646
Practice Address - Country:US
Practice Address - Phone:732-447-7395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care