Eagle Ventures

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EAGLE VENTURES

Doing business as

Sunrise Medical Supply

Practice address

13606 W Camino del Sol Ste 112
Sun City West, AZ 85375-4476

Phone

(623) 546-7827

Fax

(623) 546-8961

NPI assigned

Nov 1, 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. John A. Omijie

Title

Managing Director

Phone

(623) 546-7827

Specialties & licenses 1

Addresses

Other names 1

• SUNRISE MEDICAL SUPPLY Doing business as

Tax ID family

Eagle Ventures2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sunrise Medical Suplly

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1306865597
  NPD tax ID

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285711853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 W CAMINO DEL SOL STE 112",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754476",
            "telephone_number": "623-546-7827",
            "fax_number": "623-546-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13606 W CAMINO DEL SOL STE 112",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754476",
            "telephone_number": "623-546-7827",
            "fax_number": "623-546-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OMIJIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "623-546-7827",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jena Ann Drieling, PHARMD
• Christopher Dubay, D.O.
• Jaclyn Dubois, CNM
• Susan M Dugo, PT
• Catherine Riggert Dunkin, PHARMD
• Rosita Lynda Echeverria, RDH
• Edie J. Ast C.R.N.a, LTD
• John T Edwards, ST
• Rebecca Ann Elton, MA, BCBA, COBA, LBA
• Embarkwell Chiropractic PLLC

• Durable Medical Equipment & Medical Supplies in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• 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.