Provider Demographics
NPI:1326518481
Name:EASYLIVING INC
Entity Type:Organization
Organization Name:EASYLIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-447-5845
Mailing Address - Street 1:1180 PONCE DE LEON BLVD STE 701
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-1031
Mailing Address - Country:US
Mailing Address - Phone:727-448-0900
Mailing Address - Fax:
Practice Address - Street 1:11806 N 56TH ST
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-1652
Practice Address - Country:US
Practice Address - Phone:813-333-5020
Practice Address - Fax:727-461-0001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EASYLIVING , INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-03
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHHA299994823OtherAHCA
FLHHA299992282OtherAHCA