Eagle Pointe, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

54 Issued in WV

Legal business name

EAGLE POINTE, INC

Practice address

1600 27TH St
Parkersburg, WV 26101-2815

Phone

(304) 485-6476

Fax

(304) 485-1306

NPI assigned

Sep 30, 2005

Last updated

Aug 22, 2020By 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

Mr. James G Burkhart II

Title

Ceo

Phone

(317) 788-2500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518954908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 27TH ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012815",
            "telephone_number": "304-485-6476",
            "fax_number": "304-485-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 27TH ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261012815",
            "telephone_number": "304-485-6476",
            "fax_number": "304-485-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE POINTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKHART",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-788-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1213110001",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003696001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daulton Samuel Duvall, CARE COORDINATOR
• Lesa Ann Dye
• Rebecca Diane Dye, CRISIS SPECIALIST
• Sharon K Dye
• Eagle Pointe SNF LLC (Eagle Pointe Rehabilitation & Healthcare Center)
• Shari Lou Eakins
• Jennifer Earl
• Shane Eaton
• Eckels Orthodontics PLLC (Valley Smiles Orthodontics)
• J Scott Eckels, DDS MS ORTHODONTIST

• Skilled Nursing Facility in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.