MEDICARE: EASY CARE HOME AGENCY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1083460562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASY CARE HOME AGENCY LLC

Provider Business Mailing Address
First Line	:	4000 N STATE ROAD 7 STE 307
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-4863
Country	:	US
Telephone Number	:	954-507-3434
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 N STATE ROAD 7 STE 307
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-4863
Country	:	US
Telephone Number	:	954-507-3434
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LOUINA BAPTISTE
Credential	:
Telephone Number	:	954-507-3434

Provider Enumeration Date	:	04/25/2024
Last Update Date	:	04/25/2024

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Directions to “EASY CARE HOME AGENCY LLC ” Practice Location

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