Eagle Residential Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

EAGLE RESIDENTIAL SERVICES LLC

Practice address

246 Auburn St Apt 39
Portland, ME 04103-2155

Phone

(207) 671-7635

NPI assigned

Apr 20, 2021

Last updated

Jan 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christian MuhundeNPI 1144976531

Title

Managing Member

Phone

(207) 671-7635

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, and the practitioner matching its NPPES authorized official.

• Christian Muhunde

  • Home Health Aide
  • Portland, ME
  • NPI 1144976531
  NPD Authorized official

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643500800000",
    "number": "1063093904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 AUBURN ST APT 39",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032155",
            "telephone_number": "207-671-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 AUBURN ST APT 39",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032155",
            "telephone_number": "207-671-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2022-01-30",
        "certification_date": "2022-01-30",
        "status": "A",
        "authorized_official_last_name": "MUHUNDE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "207-671-7635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela M Dyer, R.N.
• Rachael Dyer
• Thomas A Dykes, M.D.
• Dylan McKenney MD PLLC (Awaken Mental Health)
• E. Merle Bragdon, PHD, PA
• Shayla Renee Eaklor
• Halen Earle, LCPC, MS
• Mark D Earnshaw, MD
• Earthsoul Nutrition Therapy PLLC
• Eastern Sky Wellness

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Portland, ME
• Providers in Portland, ME by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.