Eagles Nest

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

AF190277334 Issued in MI

Legal business name

EAGLES NEST

Practice address

13282 S Hinman Rd
Eagle, MI 48822-9637

Phone

(517) 626-2190

NPI assigned

Dec 4, 2008

Last updated

Dec 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kacie Shaw

Title

Owner

Phone

(517) 626-2190

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1679718639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13282 S HINMAN RD",
            "city": "EAGLE",
            "state": "MI",
            "postal_code": "488229637",
            "telephone_number": "517-626-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13282 S HINMAN RD",
            "city": "EAGLE",
            "state": "MI",
            "postal_code": "488229637",
            "telephone_number": "517-626-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES NEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "KACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-626-2190"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AF190277334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Beard, LMSW
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• Steven Louis Ellenwood, LMSW
• Linda Francisco, RN
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• Amber Johnson, LMSW
• Looking Glass Counseling LLC

• Foster Care Agency in Eagle, MI
• Providers in Eagle, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.