Healthcare Provider Details

I. General information

NPI: 1689461675
Provider Name (Legal Business Name): EZ-WAY HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40315 MICHIGAN AVE # 501
CANTON MI
48188-2908
US

IV. Provider business mailing address

40315 MICHIGAN AVE # 501
CANTON MI
48188-2908
US

V. Phone/Fax

Practice location:
  • Phone: 248-973-7184
  • Fax:
Mailing address:
  • Phone: 734-709-4681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL OBI EZEIGWE
Title or Position: CEO/OWNER
Credential:
Phone: 248-973-7184