Eagle Home Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

EAGLE HOME CARE LLC

Practice address

8655 Belford Ave Apt 123
Los Angeles, CA 90045-8630

Phone

(310) 316-9200

Fax

(310) 329-1213

NPI assigned

Jan 22, 2019

Organization subpart

No

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

Authorized official

Name

Natalie Gilliard

Title

Ceo

Phone

(310) 316-9200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1265996466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8655 BELFORD AVE APT 123",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900458630",
            "telephone_number": "310-316-9200",
            "fax_number": "310-329-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8655 BELFORD AVE APT 123",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900458630",
            "telephone_number": "310-316-9200",
            "fax_number": "310-329-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "GILLIARD",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-316-9200"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE AGENCY",
            "identifier": "Y2888783",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Van Eagan, M.D.
• Christopher Lawrence Eagar-Finney, LCSW
• Suvannee Eagatatt, NP
• Katrina Yvonne Eagilen, D.D.S.
• Eagle Classic Wellness Inc
• Eagle Medical Transportation
• Eagle Rock Adult Day Health Care Center LLC
• Eagle Rock Medical Center
• Eagle Rock Medlink Group Inc
• Eagle-1 Healthcare Inc

• Adult Care Home Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.