Provider Demographics
NPI:1902393515
Name:E-Z ACCESS HOMECARE
Entity Type:Organization
Organization Name:E-Z ACCESS HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTER, OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:817-937-7376
Mailing Address - Street 1:111 BLOOMFIELD DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-5385
Mailing Address - Country:US
Mailing Address - Phone:817-431-1886
Mailing Address - Fax:
Practice Address - Street 1:14614 FALLING CREEK DR STE 126
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-2931
Practice Address - Country:US
Practice Address - Phone:817-937-7376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care