Provider Demographics
NPI:1750903704
Name:E Z CARE HOME HEALTH LLC
Entity type:Organization
Organization Name:E Z CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEO
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBBANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-233-4128
Mailing Address - Street 1:PO BOX 111443
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-1443
Mailing Address - Country:US
Mailing Address - Phone:720-233-4128
Mailing Address - Fax:
Practice Address - Street 1:1582 S PARKER RD STE 303
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2717
Practice Address - Country:US
Practice Address - Phone:720-233-4128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health