Provider Demographics
NPI:1740963685
Name:EZZCARESERVICE LLC
Entity type:Organization
Organization Name:EZZCARESERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWATOSIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ONIKUTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-498-3490
Mailing Address - Street 1:1676 MARYLAND AVE NE APT 438E
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-7694
Mailing Address - Country:US
Mailing Address - Phone:202-498-3490
Mailing Address - Fax:
Practice Address - Street 1:1676 MARYLAND AVE NE APT 438E
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7694
Practice Address - Country:US
Practice Address - Phone:202-498-3490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty