Country Easy Living LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

COUNTRY EASY LIVING LLC

Practice address

5478 210TH Ave
Reed City, MI 49677-8626

Phone

(231) 465-4103

NPI assigned

Jul 30, 2024

Last updated

Aug 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mikala J Hofmann

Title

Owner

Phone

(231) 580-3350

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1184453938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5478 210TH AVE",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496778626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5478 210TH AVE",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496778626",
            "telephone_number": "231-465-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY EASY LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "HOFMANN",
        "authorized_official_first_name": "MIKALA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-580-3350"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy W Childers, PA-C
• Erin Chinavare
• Mary Ellen Clark, RPH
• Sean Conrad
• Kathrine Amanda Cooper, MD
• County of Osceola
• Barbara Cummings, BA/LSW
• Mickenzie Davis, BSW
• Lori Ann Dennett, P.T.
• Melissa Joanne Emmorey

• Adult Care Home Facility in Reed City, MI
• Providers in Reed City, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.