Active NPI
Love and Life Wellness Spa
Doing business as Love and Life Wellness
- Medical Specialty Clinic/Center
- Newark, DE
National Provider Identifier
1235976564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- LOVE AND LIFE WELLNESS SPA
- Doing business as
- Love and Life Wellness
- Practice address
- 288 E Main St
Newark, DE 19711-7311 - Phone
- (267) 673-4659
- NPI assigned
- Jul 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Walettra Enoch
- Title
- Ceo/Owner/Operator
- Phone
- (215) 397-7104
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
288 E Main St
Newark, DE 19711-7311
Mailing address
8 The GRN Ste 11589
Dover, DE 19901-3618
Other names 1
- Love and Life Wellness
National Provider Directory
National Provider DirectoryLocations
288 E Main St
Newark, DE 19711
Phone (267) 673-4659
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- New York, NY
- NPI 1669941027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720742400000",
"number": "1235976564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 THE GRN STE 11589",
"city": "DOVER",
"state": "DE",
"postal_code": "199013618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 E MAIN ST",
"city": "NEWARK",
"state": "DE",
"postal_code": "197117311",
"telephone_number": "267-673-4659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVE AND LIFE WELLNESS SPA",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-12",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A",
"authorized_official_last_name": "ENOCH",
"authorized_official_first_name": "WALETTRA",
"authorized_official_title_or_position": "CEO/OWNER/OPERATOR",
"authorized_official_telephone_number": "215-397-7104"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Love and Life Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.