Provider Demographics
NPI:1912204397
Name:EASY LIVING HOMECARE,INC.
Entity Type:Organization
Organization Name:EASY LIVING HOMECARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISBET
Authorized Official - Middle Name:JACQUELINE
Authorized Official - Last Name:AVEIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-229-9849
Mailing Address - Street 1:40 LAKE AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-5283
Mailing Address - Country:US
Mailing Address - Phone:405-229-9849
Mailing Address - Fax:
Practice Address - Street 1:40 LAKE AVENUE EXT
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06811-5283
Practice Address - Country:US
Practice Address - Phone:405-229-9849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-19
Last Update Date:2011-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health