Easy Living Care Home Inc

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

EASY LIVING CARE HOME INC

Practice address

301 East Beacham Ave
Unadilla, GA 31091

Phone

(478) 627-9022

NPI assigned

Jan 17, 2024

Last updated

Jan 17, 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

Ms. Tabatha Turner HardwickNPI 1790564805

Title

Owner

Phone

(478) 235-0000

Specialties & licenses 1

Addresses

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.

• Tabatha Turner Hardwick

  • Custodial Care Facility
  • Unadilla, GA
  • NPI 1790564805
  NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1225899255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "UNADILLA",
            "state": "GA",
            "postal_code": "310910084",
            "telephone_number": "478-627-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EAST BEACHAM AVE",
            "city": "UNADILLA",
            "state": "GA",
            "postal_code": "31091",
            "telephone_number": "478-627-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY LIVING CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "HARDWICK",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_middle_name": "TURNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-235-0000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Blake Burnham, FNP
• Stephen Raymond Byrd, D.D.S.
• Marian A Conway, NP
• Tabatha Turner Hardwick
• Healthcare of Unadilla LLC
• Alicia Henderson
• Alexander Chukwuma Ibezi-Enendu, D.O.
• Kimberly Crump Johnson, NP-C

• Custodial Care Facility in Unadilla, GA
• Providers in Unadilla, GA by specialty
• Custodial Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.