NPIMap

Organization Active NPI

Stacy J Spence & Associates LLC

  • Home Health Agency
  • Bowie, MD
National Provider Identifier
1407258361
Registry record updated Sep 23, 2014
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Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R3580 Issued in MD
Legal business name
STACY J SPENCE & ASSOCIATES LLC
Practice address
3040 Mitchellville Rd
Bowie, MD 20716-1388
Phone
(301) 358-0744
Fax
(301) 715-3735
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Stacy J Spence
Title
Owner /President
Phone
(301) 358-0744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R3580 MD Primary

Addresses

Primary practice location

3040 Mitchellville Rd
Bowie, MD 20716-1388

Mailing address

3040 Mitchellville Rd
Bowie, MD 20716-1388
Phone (301) 358-0744

Other names 1

  • Tranquil Gardens Home Care Management Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1407258361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 MITCHELLVILLE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161388",
            "telephone_number": "301-358-0744",
            "fax_number": "301-715-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 MITCHELLVILLE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161388",
            "telephone_number": "301-358-0744",
            "fax_number": "301-715-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY J SPENCE & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER /PRESIDENT",
        "authorized_official_telephone_number": "301-358-0744"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R3580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tranquil Gardens Home Care Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.