Eagle Medical Satffing, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

PSS0000000247 Issued in TN

Legal business name

EAGLE MEDICAL SATFFING, LLC

Practice address

8316 Macon Ter Ste 101
Cordova, TN 38018-8505

Phone

(901) 372-9210

Fax

(901) 737-9836

NPI assigned

Dec 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Danny Lynn Harlow

Title

Owner, Chief Manager

Phone

(901) 737-3990

Specialties & licenses 2

Addresses

Tax ID family

Eagle Medical Satffing LLC2 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.

• Eagle Medical Staffing, LLC

  • Preferred Provider Organization
  • Cordova, TN
  • NPI 1558772806
  NPD tax ID

Locations

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1295970663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 MACON TER STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188505",
            "telephone_number": "901-372-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 MACON TER STE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188505",
            "telephone_number": "901-372-9210",
            "fax_number": "901-737-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE MEDICAL SATFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "HARLOW",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER, CHIEF MANAGER",
        "authorized_official_telephone_number": "901-737-3990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TN",
            "license": "14381069689",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "PSS0000000247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Casey Dunlop
• Melody Dunn
• Constance L Durbin, MD
• Abigail Ida Durham, MSW, LSSW
• Lasaundra Eafen
• Eagle Medical Staffing, LLC
• Eagle Systems Technology, Inc
• Aliyah Renae Easley, NP
• Lauren Edmiston
• Crystal Edmonds, RBT

• In Home Supportive Care Agency in Cordova, TN
• Providers in Cordova, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.