NPIMap

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
Doing business as
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
Last updated
Jun 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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.

Specialties & licenses 2

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

Addresses

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

  • Easy Life Home Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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.