Eagle Home Medical Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00117 Issued in NC

Legal business name

EAGLE HOME MEDICAL CORP

Practice address

1016 Julian Allsbrk Hwy
Roanoke Rapids, NC 27870-4922

Phone

(252) 537-2400

Fax

(252) 537-0718

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

John Jeffrey Peedin

Title

Vice President Sales

Phone

(252) 537-2400

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1376580027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 JULIAN ALLSBRK HWY",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704922",
            "telephone_number": "252-537-2400",
            "fax_number": "252-537-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 JULIAN ALLSBRK HWY",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704922",
            "telephone_number": "252-537-2400",
            "fax_number": "252-537-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HOME MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "PEEDIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "VICE PRESIDENT SALES",
        "authorized_official_telephone_number": "252-537-2400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702402",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0492N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hazel Vanessa Duncan, M.D.
• Stephanie Dickens Dunlow, NP
• Adrian Dunn, M.S., A.T.,C
• Brittany Dunston
• Deborah Marie Durante
• Sari George Eapen, M.D.
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Easter Seals Ucp of North Carolina & Virginia, Inc.
• Eckerd Corporation

• Durable Medical Equipment & Medical Supplies in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.