Organization Active NPI

Eagles' Wings, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Northport, AL
National Provider Identifier
1386895563
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
EAGLES' WINGS, INC.
Practice address
2205 9TH Ave
Northport, AL 35476-4051
Phone
(205) 345-5484
NPI assigned
Oct 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Mr. Trey Moseley, CRC
Title
Executive Director
Phone
(205) 345-5484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2205 9TH Ave
Northport, AL 35476-4051

Mailing address

2205 9TH Ave
Northport, AL 35476-4051
Phone (205) 345-5484

National Provider Directory

National Provider Directory

Locations

2205 9th Ave
Northport, AL 35476
Phone (205) 345-5484

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1386895563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 9TH AVE",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354764051",
            "telephone_number": "205-345-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 9TH AVE",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354764051",
            "telephone_number": "205-345-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES' WINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "TREY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-345-5484",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.