Spectrum Seniors LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

414700066 Issued in CA

Legal business name

SPECTRUM SENIORS LLC

Practice address

725 Patricia Ave
San Mateo, CA 94401-3146

Phone

(508) 859-6006

NPI assigned

Jun 19, 2018

Last updated

Jun 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Grace Han Liu Reyes

Title

Founder

Phone

(650) 885-9600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1417441791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 MARINERS ISLAND BLVD STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041560",
            "telephone_number": "650-885-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 PATRICIA AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013146",
            "telephone_number": "508-859-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM SENIORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "HAN LIU",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "650-885-9600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "414700066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey A Souza
• Ronald James Sovak, PHD
• SP Spectacles
• Marissa Elizabeth Spadoni
• Linda Spangler, M.D.
• Spencer Healthcare LLC
• Marcia Evette Spencer, NP
• Robert Gross Spencer, M.D.
• Susan J Spencer, MD
• Margaret Spicer, DC

• In Home Supportive Care Agency in San Mateo, CA
• Providers in San Mateo, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.