Active NPI
Eagle'S Wings Healthcare Services, Inc.
- Home Health Agency
- Stockbridge, GA
National Provider Identifier
1376847525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 075R0740
- Legal business name
- EAGLE'S WINGS HEALTHCARE SERVICES, INC.
- Practice address
- 350 Corporate Center CT Ste B
Stockbridge, GA 30281-6360 - Phone
- (770) 742-3488
- Fax
- (770) 742-3443
- NPI assigned
- Jan 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mae Okwandu
- Title
- Administrator
- Phone
- (770) 742-3488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 075R0740 | GA | Primary |
Addresses
Primary practice location
350 Corporate Center CT Ste B
Stockbridge, GA 30281-6360
Mailing address
350 Corporate Center CT Ste B
Stockbridge, GA 30281-6360
Phone (770) 742-3488
National Provider Directory
National Provider DirectoryLocations
350 Corporate Center Ct
Ste B
Stockbridge, GA 30281
Phone (770) 742-3488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479686400000",
"number": "1376847525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 CORPORATE CENTER CT STE B",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816360",
"telephone_number": "770-742-3488",
"fax_number": "770-742-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 CORPORATE CENTER CT STE B",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816360",
"telephone_number": "770-742-3488",
"fax_number": "770-742-3443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE'S WINGS HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-03",
"last_updated": "2016-11-21",
"status": "A",
"authorized_official_last_name": "OKWANDU",
"authorized_official_first_name": "MAE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "770-742-3488",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "075R0740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
- Eagle Chiropractic Clinic Inc
- Eagle'S Landing Longevity Center
- Eagle'S Landing OB GYN 2 LLC
- Eagle'S Landing Pharmacy
- Eagle'S Landing Pharmacy
- Eagles Landing Diabetes and Endocrinology
- Eagles Landing Gastroenterology P.C.
- Eagles Landing Medical Center
- Eagles Landing Multi Speciality Group,LLC
- Eagles Landing Nephrology and Hypertension LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.