Healthcare Provider Details

I. General information

NPI: 1407796048
Provider Name (Legal Business Name): EASY TRANSITIONAL CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 HOLIDAY BLVD STE 100
COVINGTON LA
70433-5023
US

IV. Provider business mailing address

205 HOLIDAY BLVD STE 100
COVINGTON LA
70433-5023
US

V. Phone/Fax

Practice location:
  • Phone: 945-941-0704
  • Fax: 888-338-1461
Mailing address:
  • Phone: 945-941-0704
  • Fax: 888-338-1461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PRISCILLA IHENACHO
Title or Position: PHYSICIAN
Credential: MD
Phone: 510-925-0736