Provider Demographics
NPI:1417656802
Name:EASY CARE HEALTH CARE
Entity Type:Organization
Organization Name:EASY CARE HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:TANISHA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:CLAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:267-325-0221
Mailing Address - Street 1:4629 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-1221
Mailing Address - Country:US
Mailing Address - Phone:215-403-7406
Mailing Address - Fax:215-403-7406
Practice Address - Street 1:4629 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-1221
Practice Address - Country:US
Practice Address - Phone:215-403-7406
Practice Address - Fax:215-403-7406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health