Eagles Nest of Love LLC

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

EAGLES NEST OF LOVE LLC

Doing business as

Forever Young Companion Agency

Practice address

11545 Balintore Dr
Riverview, FL 33579-3918

Phone

(813) 815-4776

NPI assigned

Nov 6, 2019

Last updated

Dec 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zaranda YoungNPI 1457248080

Title

Administrator

Phone

(813) 815-4776

Specialties & licenses 3

Addresses

Other names 1

• Forever Young Companion Agency Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zaranda Young, RN

  • Registered Nurse
  • Brandon, FL
  • NPI 1457248080
  NPD Authorized official

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1437793015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 SUN CITY CENTER BLVD # 104-49",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736843",
            "telephone_number": "813-815-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11545 BALINTORE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335793918",
            "telephone_number": "813-815-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES NEST OF LOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ZARANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-815-4776"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forever Young Companion Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Forever Young Companion Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Ann Durden
• Alexis K Duron, OTD
• Marion M Dwyer, M.S. MENTAL HEALTH
• Damon Wesley Dye, L.M.H.C., N.C.G.C.II
• Dynamik Balance, LLC
• Earlee a. Salas, PA (The Joint PT)
• Early Intervention Academy, LLC
• Nigel Eli Easley
• Yeney Echizarraga Sanchez
• Echo Bay Therapy

• Attendant Care Provider in Riverview, FL
• Providers in Riverview, FL by specialty
• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.