Organization Active NPI

Easy Transitional Care PLLC

  • Internal Medicine Physician
  • Covington, LA
National Provider Identifier
1407796048
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EASY TRANSITIONAL CARE PLLC
Practice address
205 Holiday Blvd Ste 100
Covington, LA 70433-5023
Phone
(945) 941-0704
Fax
(888) 338-1461
NPI assigned
Apr 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Authorized official

Name
Priscilla Ihenacho, MDNPI 1518532886
Title
Physician
Phone
(510) 925-0736

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

205 Holiday Blvd Ste 100
Covington, LA 70433-5023

Mailing address

205 Holiday Blvd Ste 100
Covington, LA 70433-5023
Phone (945) 941-0704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260420002918 LA Part B Supplier - Clinic/Group Practice 4587130190 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, LA

National Provider Directory

National Provider Directory

Locations

205 Holiday Blvd
#100
Covington, LA 70433
Phone (945) 941-0704

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1407796048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HOLIDAY BLVD STE 100",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335023",
            "telephone_number": "945-941-0704",
            "fax_number": "888-338-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HOLIDAY BLVD STE 100",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335023",
            "telephone_number": "945-941-0704",
            "fax_number": "888-338-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY TRANSITIONAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "IHENACHO",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "510-925-0736",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.