Provider Demographics
NPI:1750276325
Name:PROVIDING EASE HOME CARE SERVICES
Entity type:Organization
Organization Name:PROVIDING EASE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERITA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-590-5706
Mailing Address - Street 1:218 LOCUST DR
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:VA
Mailing Address - Zip Code:23890-5027
Mailing Address - Country:US
Mailing Address - Phone:804-590-5706
Mailing Address - Fax:
Practice Address - Street 1:1601 WARE BOTTOM SPRING RD STE 104
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-2599
Practice Address - Country:US
Practice Address - Phone:804-590-5706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based