Provider Demographics
NPI:1912719667
Name:SIMPLICITY HOME CARE LLC
Entity type:Organization
Organization Name:SIMPLICITY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:KHUMALO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-917-3714
Mailing Address - Street 1:6 CHESTNUT HILL DR
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-5122
Mailing Address - Country:US
Mailing Address - Phone:732-917-3714
Mailing Address - Fax:
Practice Address - Street 1:6 CHESTNUT HILL DR
Practice Address - Street 2:
Practice Address - City:NEW FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06812-5122
Practice Address - Country:US
Practice Address - Phone:732-917-3714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care