Provider Demographics
NPI:1356795348
Name:AT EASE HOME CARE
Entity type:Organization
Organization Name:AT EASE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARYVONA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUFFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-963-0100
Mailing Address - Street 1:4968 EUCLID RD
Mailing Address - Street 2:SUITE A2
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-5833
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4968 EUCLID RD
Practice Address - Street 2:SUITE A-2
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462
Practice Address - Country:US
Practice Address - Phone:757-963-0100
Practice Address - Fax:757-963-0681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-16
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health