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EZR HOMECARE AGENCY LLC

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Company Details

Name: EZR HOMECARE AGENCY LLC
Legal type: Foreign Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 25 Mar 2021 (4 years ago)
Authority Date: 25 Mar 2021 (4 years ago)
Last Annual Report: 22 May 2024 (a year ago)
Organization Number: 1141175
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40216
City: Louisville, Shively
Primary County: Jefferson County
Principal Office: 4412 Malcolm Rd, Louisville, KY 40216
Place of Formation: INDIANA

Registered Agent

Name Role
REVON Y. JOHNSON Registered Agent

Manager

Name Role
ReVon Yvette Johnson Manager

National Provider Identifier

NPI Number:
1851187256
Certification Date:
2025-04-15

Authorized Person:

Name:
JACQUELINE SANDERS
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report Amendment 2024-05-22
Annual Report 2024-02-22
Principal Office Address Change 2024-01-31
Annual Report 2023-05-18
Principal Office Address Change 2022-06-19

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Sources: Kentucky Secretary of State