Provider Demographics
NPI:1619401700
Name:EASY HOME CARE, INC.
Entity Type:Organization
Organization Name:EASY HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CAPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-898-0420
Mailing Address - Street 1:13515 LAWING DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SOUTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23834-6018
Mailing Address - Country:US
Mailing Address - Phone:804-898-0420
Mailing Address - Fax:
Practice Address - Street 1:13515 LAWING DR
Practice Address - Street 2:SUITE B
Practice Address - City:SOUTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23834-6018
Practice Address - Country:US
Practice Address - Phone:804-898-0420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NON EMERGENCY MEDICAL TRANSPORT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility