Organization Active NPI

Love and Life Wellness Spa

Doing business as Love and Life Wellness

  • Medical Specialty Clinic/Center
  • Newark, DE
National Provider Identifier
1235976564
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
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

Updated by the provider on Jul 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Walettra EnochNPI 1669941027
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.