Provider Demographics
NPI:1053644500
Name:SIMPLYHOME, LLC
Entity type:Organization
Organization Name:SIMPLYHOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-684-8441
Mailing Address - Street 1:PO BOX 1155
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-1155
Mailing Address - Country:US
Mailing Address - Phone:828-684-8441
Mailing Address - Fax:828-707-9591
Practice Address - Street 1:48 FISK DR
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-9469
Practice Address - Country:US
Practice Address - Phone:828-684-8441
Practice Address - Fax:828-684-3590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies