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General NPI Number Information
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NPI Number | 1417317561
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Entity Type | Organization
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Legal Business Name | EASY LIVING HOME CARE, LLC
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Dates
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Enumeration Date | 03/02/2016
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 23547 MOULTON PKWY STE 200B
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1902
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Country | US
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Telephone | 949-842-6831
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Fax | 949-342-4765
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Provider Business Mailing Address
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Address Line | 23547 MOULTON PKWY STE 200B
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1902
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Country | US
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Telephone | 949-842-6831
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Fax | 949-342-4765
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Authorized Official
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Title or Position | OWNER
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Name | LORI LAPORTE
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Credential |
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Telephone | 949-842-6831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 304700141
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License Number State | CA
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