Organization Active NPI

Eagle Healthcare Services Inc.

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1538298153
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EAGLE HEALTHCARE SERVICES INC.
Doing business as
Eagle PSR
Practice address
1809 Garner Rd
Raleigh, NC 27610-3923
Phone
(919) 264-7446
Fax
(919) 872-7456
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Rosemary Nwankwo
Title
Ceo
Phone
(919) 872-7686

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1628 NC
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1809 Garner Rd
Raleigh, NC 27610-3923

Mailing address

1500 Garner Rd Ste a
Raleigh, NC 27610-6669
Phone (919) 438-9744

Other practice location 1

4428 Louisburg Rd
Suite 109
Raleigh, NC 27616-4302
Phone (919) 872-7686

Other practice location 2

1708 Trawick Rd
115
Raleigh, NC 27616-3897
Phone (919) 872-7686

Other practice location 3

1708 Trawick Rd # 101-105
Raleigh, NC 27604-2180
Phone (919) 896-6938

Other identifiers 7

IdentifierTypeStateIssuer
7804642MedicaidNC
7803989MedicaidNC
8301237MedicaidNC
7804863MedicaidNC
7805026MedicaidNC
7805144MedicaidNC
7805338MedicaidNC

Other names 1

  • Eagle PSR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eagle Healthcare Services7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1708 Trawick Rd
Ste 115
Raleigh, NC 27604
Phone (919) 594-1201

1708 Trawick Rd
#101105
Raleigh, NC 27604
Phone (919) 896-6938

1500 Garner Rd
Ste A
Raleigh, NC 27610
Phone (919) 556-1008

1708 Trawick Rd
Raleigh, NC 27604
Phone (919) 780-7610

1809 Garner Rd
Raleigh, NC 27610
Phone (919) 264-7446

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1538298153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 GARNER RD STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106669",
            "telephone_number": "919-438-9744",
            "fax_number": "919-872-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 GARNER RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103923",
            "telephone_number": "919-264-7446",
            "fax_number": "919-872-7456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4428 Louisburg Rd",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276164302",
            "country_code": "US",
            "telephone_number": "919-872-7686",
            "fax_number": "919-872-7456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1708 Trawick Rd",
            "address_2": "115",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276163897",
            "country_code": "US",
            "telephone_number": "919-872-7686",
            "fax_number": "919-872-7456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1708 Trawick Rd # 101-105",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276042180",
            "country_code": "US",
            "telephone_number": "919-896-6938",
            "fax_number": "919-896-6941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAGLE HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "NWANKWO",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-872-7686"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1628",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804642",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803989",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301237",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804863",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805026",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805144",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805338",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle PSR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.