Organization Active NPI

Wings As Eagles Senior Care Services, LLC

  • In Home Supportive Care Agency
  • Fort Wayne, IN
National Provider Identifier
1528205176
Registry record updated Jan 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
090120611 Issued in IN
Legal business name
WINGS AS EAGLES SENIOR CARE SERVICES, LLC
Practice address
2118 Inwood Dr
Suite 101
Fort Wayne, IN 46815-7101
Phone
(260) 760-2108
NPI assigned
Jan 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2009

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

Authorized official

Name
Mrs. Michelle Lee Starnes
Title
Owner
Phone
(260) 760-2108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 090120611 IN Primary

Addresses

Primary practice location

2118 Inwood Dr
Suite 101
Fort Wayne, IN 46815-7101

Mailing address

2118 Inwood Dr
Suite 101
Fort Wayne, IN 46815-7101
Phone (260) 760-2108

National Provider Directory

National Provider Directory

Locations

2118 Inwood Dr
Ste 101
Fort Wayne, IN 46815
Phone (260) 760-2108

NPI Registry JSON

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

{
    "created_epoch": "1232236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232236800000",
    "number": "1528205176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 INWOOD DR",
            "address_2": "SUITE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157101",
            "telephone_number": "260-760-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 INWOOD DR",
            "address_2": "SUITE 101",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157101",
            "telephone_number": "260-760-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS AS EAGLES SENIOR CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-18",
        "last_updated": "2009-01-18",
        "status": "A",
        "authorized_official_last_name": "STARNES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-760-2108",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "090120611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2009; 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.