Provider Demographics
NPI:1104604883
Name:EASE IN THE HOUSE DBA @EASE
Entity type:Organization
Organization Name:EASE IN THE HOUSE DBA @EASE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BRENEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-551-7164
Mailing Address - Street 1:21 WYNSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:N BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-6950
Mailing Address - Country:US
Mailing Address - Phone:773-551-7164
Mailing Address - Fax:
Practice Address - Street 1:21 WYNSTONE WAY
Practice Address - Street 2:
Practice Address - City:N BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-6950
Practice Address - Country:US
Practice Address - Phone:773-551-7164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health