The Eagle-Watch Behavioral Health Services LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

THE EAGLE-WATCH BEHAVIORAL HEALTH SERVICES LLC

Doing business as

Gemstone

Practice address

4145 E Megan St
Gilbert, AZ 85295-7736

Phone

(480) 219-7247

Fax

(480) 207-1420

NPI assigned

Jul 10, 2014

Organization subpart

Yes

Parent organization

THE EAGLE-WATCH BEHAVIORAL HEALTH SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Mr. John M Kamau, CEO

Title

President

Phone

(480) 277-8308

Specialties & licenses 1

Addresses

Other names 1

• GEMSTONE Doing business as

Tax ID family

The Eagle-Watch Behavioral Health Services LLC2 organizations share this tax ID, including this one

Part of

The Eagle-Watch Behavioral Health Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Eagle Watch BHS Quintana

  dba Quintana

  • Assisted Living Facility (Behavioral Disturbances)
  • Gilbert, AZ
  • NPI 1497109292
  NPD tax ID

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1437565389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 E MEGAN ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957736",
            "telephone_number": "480-219-7247",
            "fax_number": "480-207-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 E MEGAN ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957736",
            "telephone_number": "480-219-7247",
            "fax_number": "480-207-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EAGLE-WATCH BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE EAGLE-WATCH BEHAVIORAL HEALTH SERVICES LLC",
        "enumeration_date": "2014-07-10",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "KAMAU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-277-8308",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEMSTONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Birth Haven at Lifespring Midwifery
• The Clinical Infusion Center
• The Core Institute Spine Center Gilbert
• The Dental Center of Queen Creek, P.C. (Goodman Dental Center)
• The Eagle Watch BHS Quintana (Quintana)
• The Emergency Center at Morrison Ranch, LLC
• The Exquisite Care Company LLC
• The Glow Up Collective (Glow Up Therapy Co.)
• The Insomnia and Sleep Institute of Arizona LLC
• The Lactation Network, LLC

• Preferred Provider Organization in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Preferred Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.