Organization Active NPI

Eagle'S Wings Healthcare Services, Inc.

  • Home Health Agency
  • Stockbridge, GA
National Provider Identifier
1376847525
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
075R0740 Issued in GA
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

Updated by the provider on Nov 21, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.