NPIMap

Organization Active NPI

Eagle Medical Services , LLC

  • Home Health Agency
  • Cleveland, OH
National Provider Identifier
1134614035
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EAGLE MEDICAL SERVICES , LLC
Practice address
11916 Lorain Ave
Cleveland, OH 44111-5408
Phone
(216) 889-9220
Fax
(216) 889-9221
NPI assigned
Jun 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Mr. Paula Leng
Title
Owner
Phone
(216) 889-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

11916 Lorain Ave
Cleveland, OH 44111-5408

Mailing address

11916 Lorain Ave
Cleveland, OH 44111-5408
Phone (216) 889-9220

Other identifiers 1

IdentifierTypeStateIssuer
1417157843MedicaidOH

Other names 1

  • Eagle Home Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eagle Home Health Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1134614035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11916 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115408",
            "telephone_number": "216-889-9220",
            "fax_number": "216-889-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11916 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115408",
            "telephone_number": "216-889-9220",
            "fax_number": "216-889-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE MEDICAL SERVICES , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "LENG",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-889-9220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417157843",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagle Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.