Provider Demographics
NPI:1013581552
Name:EASYLIVING HOME CARE LLP
Entity Type:Organization
Organization Name:EASYLIVING HOME CARE LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DASHIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-415-0405
Mailing Address - Street 1:2165 CENTRAL PKWY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45214-2201
Mailing Address - Country:US
Mailing Address - Phone:513-969-1965
Mailing Address - Fax:513-672-2574
Practice Address - Street 1:2165 CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45214-2201
Practice Address - Country:US
Practice Address - Phone:513-969-1965
Practice Address - Fax:513-672-2574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0430061Medicaid