Provider Demographics
NPI:1891117305
Name:SPENCER HEALTHCARE LLC
Entity Type:Organization
Organization Name:SPENCER HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-488-5590
Mailing Address - Street 1:2222 MARTIN
Mailing Address - Street 2:SUITE 214
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1458
Mailing Address - Country:US
Mailing Address - Phone:949-464-4488
Mailing Address - Fax:949-333-5377
Practice Address - Street 1:951 MARINERS ISLAND BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94404-1558
Practice Address - Country:US
Practice Address - Phone:650-488-5590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based