Organization Active NPI

Eagles Wings Home Health LLC

  • Home Health Agency
  • Fort Wayne, IN
National Provider Identifier
1003770587
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EAGLES WINGS HOME HEALTH LLC
Practice address
3515 W State Blvd
Fort Wayne, IN 46808-1724
Phone
(260) 699-7149
Fax
(260) 279-2405
NPI assigned
Dec 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Olaoluwa Olaiya
Title
Owner
Phone
(260) 699-7149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3515 W State Blvd
Fort Wayne, IN 46808-1724

Mailing address

3515 W State Blvd
Fort Wayne, IN 46808-1724
Phone (260) 699-7149

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2339858Eagles Wings Home Health LLC3515 West State Blvd, Fort Wayne, IN 46808Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

Locations

3515 W State Blvd
Fort Wayne, IN 46808
Phone (260) 699-7149

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1003770587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 W STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468081724",
            "telephone_number": "260-699-7149",
            "fax_number": "260-279-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 W STATE BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468081724",
            "telephone_number": "260-699-7149",
            "fax_number": "260-279-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES WINGS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "OLAIYA",
        "authorized_official_first_name": "OLAOLUWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-699-7149"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.