NPIMap

Organization Active NPI

Eagle Healthworks LLC

  • Community/Behavioral Health Agency
  • Thornville, OH
National Provider Identifier
1538749577
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EAGLE HEALTHWORKS LLC
Practice address
14882 State Route 13
Thornville, OH 43076-8954
Phone
(740) 242-2300
Fax
(740) 276-2727
NPI assigned
Apr 13, 2021
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
EAGLE HEALTHWORKS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Dennis EagleeyeNPI 1588103717
Title
Owner
Phone
(740) 242-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

14882 State Route 13
Thornville, OH 43076-8954

Mailing address

PO Box 894
Cambridge, OH 43725-0894
Phone (740) 242-2300

Other practice location 1

209 Seneca Ave Ste A
Byesville, OH 43723-1364
Phone (740) 685-0016

National Provider Directory

National Provider Directory
Tax ID family
Eagle Healthworks LLC2 organizations share this tax ID, including this one
Part of
Eagle Healthworks LLC

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1538749577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 894",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437250894",
            "telephone_number": "740-242-2300",
            "fax_number": "740-276-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14882 STATE ROUTE 13",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430768954",
            "telephone_number": "740-242-2300",
            "fax_number": "740-276-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Seneca Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Byesville",
            "state": "OH",
            "postal_code": "437231364",
            "country_code": "US",
            "telephone_number": "740-685-0016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAGLE HEALTHWORKS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE HEALTHWORKS LLC",
        "enumeration_date": "2021-04-13",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "EAGLEEYE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-242-2300"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.