Eagle Health Care Services, Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

License

2194 Issued in MS

Legal business name

EAGLE HEALTH CARE SERVICES, INC

Practice address

4806 Plaza Dr
Tylertown, MS 39667-9221

Phone

(601) 222-0301

Fax

(601) 222-0701

NPI assigned

Nov 23, 2009

Last updated

Nov 23, 2009By 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

Rhonda Marie Walker, RN

Title

President

Phone

(601) 341-0290

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Eagle Health Care Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Eagle Health Care Services, Inc.

  • Home Health Agency
  • Jayess, MS
  • NPI 1568660850
  NPD tax ID

Locations

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1679801088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 COLEMAN RD",
            "city": "JAYESS",
            "state": "MS",
            "postal_code": "396418345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 PLAZA DR",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396679221",
            "telephone_number": "601-222-0301",
            "fax_number": "601-222-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-341-0290",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MS",
            "license": "2194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09679892",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compassion Works LLC
• Jasmine Dillon, REGISTERED NURSE
• Mark Andrew Dillon, DMD
• Pamela Dillon, F.N.P
• Diversicare of Tylertown, LLC (Diversicare of Tylertown)
• Ashlei Chulette Ellzey
• Essential Care LLC
• Family Health Care Clinic, Inc.
• Family Health Care Clinic, Inc.
• Family Health Care Clinic, Inc.

• Respite Care in Tylertown, MS
• Providers in Tylertown, MS by specialty
• Respite Care in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.