Eagle Home

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

BH4795 Issued in AZ

Legal business name

EAGLE HOME

Practice address

808 S Jerrie Ave
Tucson, AZ 85711-4854

Phone

(520) 406-2978

NPI assigned

Feb 19, 2016

Organization subpart

No

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

Authorized official

Name

Bobbi Lopez

Title

Program Coordinator

Phone

(520) 721-1887

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean Marie-Louis Ukulikiyeyezu

  • Contractor
  • Tucson, AZ
  • NPI 1699133603
  NPD (past)

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1033578950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 S HARRISON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486608",
            "telephone_number": "520-721-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S JERRIE AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114854",
            "telephone_number": "520-406-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "520-721-1887"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AZ",
            "license": "BH4795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E. Paul Delorme DMD, PLC
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• E&G Optical LLC
• Eades Plastic Surgery PLLC
• Edward Eades, M.D.
• Eagle Transportation Services, LLC.
• Gunilla Eagleton II, RN
• Justin Eales, M.D.
• Ashley Lynn Ealey, MD
• Emerson M Earle, IDMT

• Adult Mental Health Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.