Provider Demographics
NPI:1932709755
Name:EASY PEASY HOME CARE LLC
Entity Type:Organization
Organization Name:EASY PEASY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF EASY PEASY HOME CARE
Authorized Official - Prefix:
Authorized Official - First Name:VENISA
Authorized Official - Middle Name:DAMILA
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-850-2550
Mailing Address - Street 1:27 COACH CIR UNIT 4
Mailing Address - Street 2:
Mailing Address - City:NAUGATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06770-1850
Mailing Address - Country:US
Mailing Address - Phone:203-850-2550
Mailing Address - Fax:
Practice Address - Street 1:27 COACH CIR UNIT 4
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770-1850
Practice Address - Country:US
Practice Address - Phone:203-850-2550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care