Provider Demographics
NPI:1457661134
Name:EASYCARE INC
Entity Type:Organization
Organization Name:EASYCARE INC
Other - Org Name:CORNER HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:KNAUFF
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:270-365-3903
Mailing Address - Street 1:108 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:KY
Mailing Address - Zip Code:42445-2250
Mailing Address - Country:US
Mailing Address - Phone:800-877-0345
Mailing Address - Fax:270-365-2024
Practice Address - Street 1:108 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:KY
Practice Address - Zip Code:42445-2250
Practice Address - Country:US
Practice Address - Phone:270-365-3903
Practice Address - Fax:270-365-5543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0003X, 3336C0004X
KYHME00400332BP3500X
KYP074323336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2129516OtherPK
KY7100152770Medicaid
KY7100153850Medicaid
KY6484500001Medicare NSC