Provider Demographics
NPI:1992547756
Name:EASY SHOPPING FOR SENIORS DIGITAL LLC
Entity type:Organization
Organization Name:EASY SHOPPING FOR SENIORS DIGITAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:N
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-476-3930
Mailing Address - Street 1:928 W 79TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-3302
Mailing Address - Country:US
Mailing Address - Phone:317-476-3930
Mailing Address - Fax:
Practice Address - Street 1:928 W 79TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-3302
Practice Address - Country:US
Practice Address - Phone:317-476-3930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care