Eagle Eye Family Development Center

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

EAGLE EYE FAMILY DEVELOPMENT CENTER

Practice address

4515 N Ridge Rd E
Ashtabula, OH 44004-4364

Phone

(440) 992-8776

NPI assigned

May 2, 2006

Last updated

Aug 22, 2020By 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. Isaac H. Chappell

Title

Executive Director

Phone

(440) 992-8776

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184682973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440050516",
            "telephone_number": "440-992-8776",
            "fax_number": "440-992-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 N RIDGE RD E",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044364",
            "telephone_number": "440-992-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE FAMILY DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-992-8776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Dunbar, DPM
• Amelia A Dunn, MA, MA, LPCC, NCC
• Maria Dunn
• Colleen A Durant
• Dva Healthcare Renal Care Inc (Ashtabula Dialysis)
• Bailey Eaton, OTR/L
• Richard A Ebbert, PA
• Deidra Edison, M.ED.
• Nicole Marie Edwards
• Claire Eidens

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.