Organization Active NPI

Eagle Eye PCS, LLC

  • Home Health Agency
  • Tallmadge, OH
National Provider Identifier
1477968790
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EAGLE EYE PCS, LLC
Practice address
41 Highland Dr
Tallmadge, OH 44278-1907
Phone
(330) 671-1654
NPI assigned
Jun 25, 2014
Last updated
Jun 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Yvonne E Dickhaut
Title
Owner
Phone
(330) 671-1654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

41 Highland Dr
Tallmadge, OH 44278-1907

Mailing address

41 Highland Dr
Tallmadge, OH 44278-1907
Phone (330) 671-1654

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1477968790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HIGHLAND DR",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781907",
            "telephone_number": "330-671-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 HIGHLAND DR",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781907",
            "telephone_number": "330-671-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE PCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "DICKHAUT",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-671-1654"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.