Organization Active NPI

Easy Life Home Care

  • In Home Supportive Care Agency
  • Melbourne, FL
National Provider Identifier
1134869225
Registry record updated Jun 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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 BouseNPI 1518607662
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.

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.