Easy Living Home Healthcare Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

44392 Issued in CA

Legal business name

EASY LIVING HOME HEALTHCARE SUPPLIES

Practice address

1481 N Waterman Ave
Suite 106
San Bernardino, CA 92404-5329

Phone

(909) 885-1015

Fax

(909) 885-1015

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Uche Ihenacho

Title

President

Phone

(909) 885-1015

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285678524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 N WATERMAN AVE",
            "address_2": "SUITE 106",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045329",
            "telephone_number": "909-885-1015",
            "fax_number": "909-885-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 N WATERMAN AVE",
            "address_2": "SUITE 106",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045329",
            "telephone_number": "909-885-1015",
            "fax_number": "909-885-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY LIVING HOME HEALTHCARE SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IHENACHO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "UCHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-885-1015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura J Earll
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• Gwendolyn Marcia Easley
• Kathleen Joan Easterwood, LCSW
• Eastfield Ming Quong
• Sara Eberly, M.S.
• Ebtks Medical Center, a Prof Corp.
• Dale L Ecker-Gordon, BA RBT
• Mary Edem, NP
• Deshawn Jahmal Edge-Hughes

• Durable Medical Equipment & Medical Supplies in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.