=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730097981
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EZ CARES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2026
-----------------------------------------------------
Last Update Date | 08/31/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 465 VIRGIL ST
-----------------------------------------------------
City | BAY POINT
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94565-1563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-205-8443
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 465 VIRGIL ST
-----------------------------------------------------
City | BAY POINT
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94565-1563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-205-8443
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | EZRA KIETHLY MIRANDA CARDONA
-----------------------------------------------------
Credential | CNA
-----------------------------------------------------
Telephone | 904-930-7523
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------