Provider Demographics
NPI:1164872784
Name:EZ LIVING HOME CARE OF NY, INC
Entity Type:Organization
Organization Name:EZ LIVING HOME CARE OF NY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEPITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-747-8685
Mailing Address - Street 1:5721 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1812
Mailing Address - Country:US
Mailing Address - Phone:718-747-8685
Mailing Address - Fax:347-579-0102
Practice Address - Street 1:5721 16TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204
Practice Address - Country:US
Practice Address - Phone:718-938-2231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04489598Medicaid