Eagle Heights Isl Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

EAGLE HEIGHTS ISL SERVICES

Practice address

8905 Cambridge Ave
Apt 2202
Kansas City, MO 64138

Phone

(816) 965-0701

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susan Judith Dempsey, CTRS

Title

QMRP

Phone

(816) 765-1185

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386868297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "BELRON",
            "state": "MO",
            "postal_code": "64012",
            "telephone_number": "816-765-1185",
            "fax_number": "816-765-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 CAMBRIDGE AVE",
            "address_2": "APT 2202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64138",
            "telephone_number": "816-965-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HEIGHTS ISL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JUDITH",
        "authorized_official_title_or_position": "QMRP",
        "authorized_official_telephone_number": "816-765-1185",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CTRS"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clint Dziadosz, CPNP
• E&K Transitcare
• Fabiola Magdalena Eads, RN
• Megan Daleray Eagan
• Stana Elizabeth Eager, MSW
• Kristen Eagle
• Hannah Eagleburger, PA-C
• Amanda Ann Eagles
• Scott Eagles, RPSGT, CCSH
• Amanda Earhart, CRNA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.