Active NPI
Ezzy Homecare and Staffing Agency LLC
- Nursing Care Agency
- Hawthorne, CA
National Provider Identifier
1154900447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- EZZY HOMECARE AND STAFFING AGENCY LLC
- Practice address
- 13658 Hawthorne Blvd Ste 402
Hawthorne, CA 90250-5824 - Phone
- (562) 450-9455
- NPI assigned
- Apr 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gloria Chijoje Udengwu, RN
- Title
- Manager
- Phone
- (562) 450-9455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
13658 Hawthorne Blvd Ste 402
Hawthorne, CA 90250-5824
Mailing address
13658 Hawthorne Blvd Ste 402
Hawthorne, CA 90250-5824
Phone (562) 450-9455
Other names 1
- Ezzy Staffing Agency
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Hawthorne | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
13658 Hawthorne Blvd
Ste 402
Hawthorne, CA 90250
Phone (562) 450-9455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618790400000",
"number": "1154900447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13658 HAWTHORNE BLVD STE 402",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902505824",
"telephone_number": "562-450-9455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13658 HAWTHORNE BLVD STE 402",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902505824",
"telephone_number": "562-450-9455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EZZY HOMECARE AND STAFFING AGENCY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-05",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A",
"authorized_official_last_name": "UDENGWU",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "CHIJOJE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "562-450-9455",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Hawthorne",
"affiliation": "N",
"endpointDescription": "PATIENT MEDICAL INFORMATIONS",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13658 Hawthorne Blvd Ste 402",
"city": "Hawthorne",
"state": "CA",
"country_code": "US",
"postal_code": "902505824",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Ezzy Staffing Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.