Active NPI
Eagle Eye Home Services, Inc
- In Home Supportive Care Agency
- La Grange, IL
National Provider Identifier
1386996072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 3000937
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.