Provider Demographics
NPI:1962270553
Name:BREATHE EZ HOMECARE
Entity type:Organization
Organization Name:BREATHE EZ HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:252-751-3128
Mailing Address - Street 1:102 SUNSHINE LN UNIT A
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-8615
Mailing Address - Country:US
Mailing Address - Phone:252-751-3128
Mailing Address - Fax:
Practice Address - Street 1:102 SUNSHINE LN UNIT A
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-8615
Practice Address - Country:US
Practice Address - Phone:252-751-3128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies