Easy Care Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EASY CARE HEALTH CARE LLC

Practice address

4629 Old York Rd
Philadelphia, PA 19140-1221

Phone

(215) 403-7406

Fax

(215) 403-7406

NPI assigned

Feb 24, 2023

Last updated

May 13, 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

Miss Tanisha Michele Clayton, RN

Title

Clinical Director

Phone

(267) 325-0221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417656802. Details of each certification follow.

• CCN 398378 Home health agency · Active · Details

Home health agency certification: CCN 398378

Legal name

EASY CARE HEALTH CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 20, 2025

Last certification

Feb 20, 2025

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

4629 Old York Rd
Philadelphia, PA 19140-1221

Listed as

Easy Care Health CareCCN 398378 · All quality measures

Ownership

Proprietary

Certified

Feb 20, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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.

• Tanisha Michele Clayton-Adams, RN

  • Registered Nurse
  • Philadelphia, PA
  • NPI 1881546406
  NPD

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1417656802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191401221",
            "telephone_number": "215-403-7406",
            "fax_number": "215-403-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4629 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191401221",
            "telephone_number": "215-403-7406",
            "fax_number": "215-403-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY CARE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "267-325-0221",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne Easton
• Lisa J. Easton, PA-C
• Shannon Easton, CRNP
• Eastwick Family Services
• Stephanie Elizabeth Eastwick, CRNP
• Easy Dental LLC
• Easy Dental PC
• Easy Homecare Inc
• Easy Meals Inc
• Easy Ride Non Emergency Transportation LLC

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.