Provider Demographics
NPI:1316464365
Name:EASY LIVING CAREGIVING, LLC
Entity type:Organization
Organization Name:EASY LIVING CAREGIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:DARICEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-304-7044
Mailing Address - Street 1:513 N 3RD ST W
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-2913
Mailing Address - Country:US
Mailing Address - Phone:406-926-1446
Mailing Address - Fax:
Practice Address - Street 1:513 N 3RD ST W
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-2913
Practice Address - Country:US
Practice Address - Phone:406-926-1446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2017MSSGEN00123374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty