Provider Demographics
NPI:1235875139
Name:AT EASE HOME CARE
Entity Type:Organization
Organization Name:AT EASE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:205-544-6923
Mailing Address - Street 1:505 ELLIS SANFORD RD
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:AL
Mailing Address - Zip Code:35580-6061
Mailing Address - Country:US
Mailing Address - Phone:205-544-6923
Mailing Address - Fax:
Practice Address - Street 1:505 ELLIS SANFORD RD
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:AL
Practice Address - Zip Code:35580-6061
Practice Address - Country:US
Practice Address - Phone:205-544-6923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WG0600XNursing Service ProvidersRegistered NurseGerontologyGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty