Eagle'S Nest Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EAGLE'S NEST HOME CARE LLC

Practice address

1 Garrett Rd Ste 1
Upper Darby, PA 19082-2302

Phone

(610) 247-7952

Fax

(610) 822-7052

NPI assigned

Dec 17, 2020

Organization subpart

No

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

Authorized official

Name

Susannah J White

Title

Administrator

Phone

(215) 200-9394

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1679169270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GARRETT RD STE 1",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822302",
            "telephone_number": "610-247-7952",
            "fax_number": "610-822-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GARRETT RD STE 1",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822302",
            "telephone_number": "610-247-7952",
            "fax_number": "610-822-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE'S NEST HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SUSANNAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-200-9394"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103741483-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.