Organization Active NPI

Eagle Eye Home Services, Inc

  • In Home Supportive Care Agency
  • La Grange, IL
National Provider Identifier
1386996072
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3000937 Issued in IL
Legal business name
EAGLE EYE HOME SERVICES, INC
Practice address
1030 S la Grange Rd
Suite 29
La Grange, IL 60525-2800
Phone
(708) 261-0080
Fax
(708) 261-0081
NPI assigned
Oct 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Mr. Bryan John Romane
Title
President
Phone
(708) 261-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3000937 IL Primary

Addresses

Primary practice location

1030 S la Grange Rd
Suite 29
La Grange, IL 60525-2800

Mailing address

1030 S la Grange Rd
Suite 29
La Grange, IL 60525-2800
Phone (708) 261-0080

Other names 1

  • ComForcare Senior Services - Southwest Surburban Chicago Doing business as

National Provider Directory

National Provider Directory

Locations

1030 S La Grange Rd
Ste 29
La Grange, IL 60525
Phone (708) 261-0080

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1386996072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S LA GRANGE RD",
            "address_2": "SUITE 29",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252800",
            "telephone_number": "708-261-0080",
            "fax_number": "708-261-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S LA GRANGE RD",
            "address_2": "SUITE 29",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252800",
            "telephone_number": "708-261-0080",
            "fax_number": "708-261-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE HOME SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "ROMANE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-261-0080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services - Southwest Surburban Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.