NPIMap

Organization Active NPI

Eagle Advancement Institute

  • Multi-Specialty Clinic/Center
  • West Bloomfield, MI
National Provider Identifier
1053722280
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
L2527661 Issued in MI
Legal business name
EAGLE ADVANCEMENT INSTITUTE
Practice address
7091 Orchard Lake Rd
Suite 200
West Bloomfield, MI 48322-3654
Phone
(248) 562-7284
Fax
(248) 707-1081
NPI assigned
May 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Mr. James William Carpenter
Title
Director
Phone
(248) 562-7284

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X L2527661 MI Primary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X SA0631360 MI
Substance Abuse Rehabilitation Facility 324500000X SA0631360 MI

Addresses

Primary practice location

7091 Orchard Lake Rd
Suite 200
West Bloomfield, MI 48322-3654

Mailing address

7091 Orchard Lake Rd
Suite 200
West Bloomfield, MI 48322-3654
Phone (248) 562-7284

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1053722280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7091 ORCHARD LAKE RD",
            "address_2": "SUITE 200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223654",
            "telephone_number": "248-562-7284",
            "fax_number": "248-707-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7091 ORCHARD LAKE RD",
            "address_2": "SUITE 200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223654",
            "telephone_number": "248-562-7284",
            "fax_number": "248-707-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE ADVANCEMENT INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-562-7284",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MI",
            "license": "L2527661",
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "MI",
            "license": "SA0631360",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MI",
            "license": "SA0631360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

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