Eagle Primary Home Healthcare Inc. As F/Ea

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EAGLE PRIMARY HOME HEALTHCARE INC. AS F/EA

Practice address

2516 Wayne Way
Grand Prairie, TX 75052-7883

Phone

(972) 522-1248

Fax

(972) 522-1248

NPI assigned

Mar 30, 2012

Organization subpart

Yes

Parent organization

EAGLE PRIMARY HOME HEALTHCARE INC.As reported in NPPES

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

Authorized official

Name

Moses B Fagbeyiro, MBA

Title

President

Phone

(972) 522-1248

Specialties & licenses 1

Addresses

Part of

Eagle Primary Home Healthcare Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Eagle Primary Home Healthcare Inc.

  • Home Health Agency
  • Grand Prairie, TX
  • NPI 1023291895
  NPPES parent name

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1669748802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 WAYNE WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527883",
            "telephone_number": "972-522-1248",
            "fax_number": "972-522-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 WAYNE WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527883",
            "telephone_number": "972-522-1248",
            "fax_number": "972-522-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE PRIMARY HOME HEALTHCARE INC. AS F/EA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE PRIMARY HOME HEALTHCARE INC.",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "FAGBEYIRO",
        "authorized_official_first_name": "MOSES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-522-1248",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.