Healthcare Provider Details

I. General information

NPI: 1972339141
Provider Name (Legal Business Name): EASY CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2024
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E LINTON BLVD STE 112B
DELRAY BEACH FL
33483-3345
US

IV. Provider business mailing address

100 E LINTON BLVD STE 112B
DELRAY BEACH FL
33483-3345
US

V. Phone/Fax

Practice location:
  • Phone: 954-507-3434
  • Fax:
Mailing address:
  • Phone: 954-507-3434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: LOUINA BAPTISTE
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-507-3434