Healthcare Provider Details

I. General information

NPI: 1730097981
Provider Name (Legal Business Name): EZ CARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 VIRGIL ST
BAY POINT CA
94565-1563
US

IV. Provider business mailing address

465 VIRGIL ST
BAY POINT CA
94565-1563
US

V. Phone/Fax

Practice location:
  • Phone: 925-205-8443
  • Fax:
Mailing address:
  • Phone: 925-205-8443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: EZRA KIETHLY MIRANDA CARDONA
Title or Position: OWNER
Credential: CNA
Phone: 904-930-7523