Provider Demographics
NPI:1356930077
Name:EZ HOME CARE LLC
Entity type:Organization
Organization Name:EZ HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEKIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:513-255-9482
Mailing Address - Street 1:PO BOX 18356
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45018-0356
Mailing Address - Country:US
Mailing Address - Phone:513-255-9482
Mailing Address - Fax:
Practice Address - Street 1:4471 WHITMORE LN
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-8555
Practice Address - Country:US
Practice Address - Phone:513-578-8040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-16
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty