Provider Demographics
NPI:1861005720
Name:EZ CARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:EZ CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EZEMA
Authorized Official - Middle Name:UDEOCHU
Authorized Official - Last Name:KALU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-324-5836
Mailing Address - Street 1:866 BUCKINGHAM CT APT E
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3142
Mailing Address - Country:US
Mailing Address - Phone:919-324-5837
Mailing Address - Fax:
Practice Address - Street 1:920 W CHATHAM ST STE 2
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3101
Practice Address - Country:US
Practice Address - Phone:919-324-5837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care