Eagles Eye Comfort Care Miramar

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EAGLES EYE COMFORT CARE MIRAMAR

Doing business as

Eagles Eye Comfort Care

Practice address

8620 NW 3Rd St
Pembroke Pines, FL 33024-6567

Phone

(954) 232-1389

NPI assigned

Nov 6, 2018

Organization subpart

No

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

Authorized official

Name

Gloria Jumpp

Title

Administrator

Phone

(954) 232-1389

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eagles Eye Comfort Care Doing business as

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552089600000",
    "number": "1477021616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 SW 27TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233920",
            "telephone_number": "954-232-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 NW 3RD ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246567",
            "telephone_number": "954-232-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES EYE COMFORT CARE MIRAMAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2019-03-09",
        "status": "A",
        "authorized_official_last_name": "JUMPP",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-232-1389"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033628730",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022883500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagles Eye Comfort Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagles Eye Comfort Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aala Dweik
• Hadeel Dweik
• Keilah Amber Dyer, APRN
• Shamari Eady
• Eagle's Eye Comfort Care LLC.
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• East Coast Toxicology Laboratories, Inc.
• Easter Seals South Florida, Inc. (Easter Seals South Florida Home Health Agency-Broward)
• Easter Seals South Florida, Inc. (Southwest Focal Point Senior Center)
• Mohammed Ebrahim, MBCHB (MD)

• Assisted Living Facility in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; 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.