Active NPI
Easy Life Home Care
- In Home Supportive Care Agency
- Melbourne, FL
National Provider Identifier
1134869225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- EASY LIFE HOME CARE
- Practice address
- 2118 Little John Rd
Melbourne, FL 32935-3736 - Phone
- (321) 350-1238
- Fax
- (321) 622-8031
- NPI assigned
- Mar 29, 2022
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Natalia V Bouse
- Title
- Owner
- Phone
- (321) 350-1238
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Melbourne, FL
- NPI 1518607662
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
NPPES NPI RegistryPrimary practice location
2118 Little John Rd
Melbourne, FL 32935-3736
Mailing address
PO Box 360091
Melbourne, FL 32936-0091
Phone (321) 350-1238
Other names 1
NPPES NPI Registry- Easy Life Home Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2022.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654300800000",
"number": "1134869225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 360091",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329360091",
"telephone_number": "321-350-1238",
"fax_number": "321-622-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2118 LITTLE JOHN RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329353736",
"telephone_number": "321-350-1238",
"fax_number": "321-622-8031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASY LIFE HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-29",
"last_updated": "2022-06-04",
"certification_date": "2022-06-04",
"status": "A",
"authorized_official_last_name": "BOUSE",
"authorized_official_first_name": "NATALIA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-350-1238"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Easy Life Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Easy Life Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.