Organization Active NPI

Easy Life Home Care LLC

  • In Home Supportive Care Agency
  • Cumming, GA
National Provider Identifier
1992677066
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EASY LIFE HOME CARE LLC
Practice address
4620 Hastings Dr
Cumming, GA 30041-5103
Phone
(770) 633-2783
NPI assigned
Sep 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
For Ling Chan
Title
President
Phone
(770) 633-2783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4620 Hastings Dr
Cumming, GA 30041-5103

Mailing address

4540 Hastings Dr
Cumming, GA 30041-5100
Phone (770) 633-2783

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1992677066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 HASTINGS DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415100",
            "telephone_number": "770-633-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 HASTINGS DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415103",
            "telephone_number": "770-633-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY LIFE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "FOR LING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-633-2783"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.