Organization Active NPI

Eagle's Eye Comfort Care LLC.

  • Assisted Living Facility
  • Pembroke Pines, FL
National Provider Identifier
1033628730
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL13054 Issued in FL
Legal business name
EAGLE'S EYE COMFORT CARE LLC.
Practice address
8620 NW 3Rd St
Pembroke Pines, FL 33024-6567
Phone
(954) 232-1389
Fax
(754) 703-4509
NPI assigned
Sep 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Gloria B Jumpp
Title
Owner/Administrator
Phone
(954) 232-1389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL13054 FL Primary

Addresses

Primary practice location

8620 NW 3Rd St
Pembroke Pines, FL 33024-6567

Mailing address

8620 NW 3Rd St
Pembroke Pines, FL 33024-6567
Phone (954) 232-1389

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033628730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 NW 3RD ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246567",
            "telephone_number": "954-232-1389",
            "fax_number": "754-703-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 NW 3RD ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246567",
            "telephone_number": "954-232-1389",
            "fax_number": "754-703-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE'S EYE COMFORT CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JUMPP",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-232-1389"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL13054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.