MEDICARE: EASYLIVING INC

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	251B00000X	Case Management Agency	299992282	FL
2	251E00000X	Home Health Agency	299992282	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	299992282	OTHER	FL	AHCA HOME HEALTH AGENCY LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821495821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASYLIVING INC

Provider Business Mailing Address
First Line	:	1180 PONCE DE LEON BLVD STE 701
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-1031
Country	:	US
Telephone Number	:	727-447-5845
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 PONCE DE LEON BLVD STE 701
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33756-1031
Country	:	US
Telephone Number	:	727-447-5845
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALEX CHAMBERLAIN
Credential	:
Telephone Number	:	727-447-5845

Provider Enumeration Date	:	11/20/2014
Last Update Date	:	10/15/2021

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Directions to “EASYLIVING INC ” Practice Location

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