Eagle Heart Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

00066484 Issued in GA

Legal business name

EAGLE HEART SERVICES

Practice address

1223 Banberry Rd SE
Marietta, GA 30067-7701

Phone

(678) 919-9077

NPI assigned

Apr 13, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Enid Parker, RN

Title

Administrator

Phone

(678) 499-9703

Specialties & licenses 1

Addresses

Other names 1

• Eagle Heart In Home Services Doing business as

Locations

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

{
    "created_epoch": "1365811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365811200000",
    "number": "1154764785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 BANBERRY RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 BANBERRY RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677701",
            "telephone_number": "678-919-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HEART SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-13",
        "last_updated": "2013-04-13",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ENID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-499-9703",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "00066484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Heart In Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2013; 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.