Provider Demographics
NPI:1235448135
Name:BREATHE EASY IN HOME HEALTH CARE COMPANY
Entity Type:Organization
Organization Name:BREATHE EASY IN HOME HEALTH CARE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, NURSE SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:BENNETT
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:434-981-3812
Mailing Address - Street 1:1433 BIRCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CROZET
Mailing Address - State:VA
Mailing Address - Zip Code:22932-9464
Mailing Address - Country:US
Mailing Address - Phone:434-981-3812
Mailing Address - Fax:
Practice Address - Street 1:1433 BIRCHWOOD DR
Practice Address - Street 2:
Practice Address - City:CROZET
Practice Address - State:VA
Practice Address - Zip Code:22932-9464
Practice Address - Country:US
Practice Address - Phone:434-981-3812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001074141251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health