Eagle One LLLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

EAGLE ONE LLLC

Practice address

6011 S Muirfield Cir
New Orleans, LA 70128-3656

Phone

(504) 616-5391

NPI assigned

Sep 12, 2022

Last updated

Sep 12, 2022By 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. Theophilus Spears B Eagle One LLC

Title

Onwer

Phone

(504) 616-5391

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theophilus B Spears

  • Home Modifications Contractor
  • New Orleans, LA
  • NPI 1962055251
  NPD

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1346961976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 SAINT CLAUDE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701175336",
            "telephone_number": "504-616-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 S MUIRFIELD CIR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701283656",
            "telephone_number": "504-616-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE ONE LLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "EAGLE ONE LLC",
        "authorized_official_first_name": "THEOPHILUS SPEARS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "504-616-5391",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Home Modifications Contractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.