Provider Demographics
NPI:1528592623
Name:EZ CARE STAFFING LLC
Entity Type:Organization
Organization Name:EZ CARE STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:NIKOLETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLEKAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-890-9944
Mailing Address - Street 1:680 MAIN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-2113
Mailing Address - Country:US
Mailing Address - Phone:203-890-9944
Mailing Address - Fax:203-890-9941
Practice Address - Street 1:680 MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-2113
Practice Address - Country:US
Practice Address - Phone:203-890-9944
Practice Address - Fax:203-890-9941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0001003253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care