Active NPI
Eagle Health Services Corp
- Home Health Agency
- Miami, FL
National Provider Identifier
1689725640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 20314096
- Legal business name
- EAGLE HEALTH SERVICES CORP
- Practice address
- 8900 SW 24TH St
Suite 202
Miami, FL 33165-2075 - Phone
- (305) 884-4337
- Fax
- (305) 884-4937
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Barbara Alfonso, RN
- Title
- Director of Nursing
- Phone
- (305) 884-4337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 20314096 | FL | Primary |
Addresses
Primary practice location
8900 SW 24TH St
Suite 202
Miami, FL 33165-2075
Mailing address
8900 SW 24TH St
Suite 202
Miami, FL 33165-2075
Phone (305) 884-4337
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650985101 | Medicaid | FL | |
| 650985100 | Medicaid | FL | |
| 109339 | Other | FL | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
8600 NW South River Dr
Ste No
Medley, FL 33166
Phone (305) 884-4337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348099200000",
"number": "1689725640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 SW 24TH ST",
"address_2": "SUITE 202",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652075",
"telephone_number": "305-884-4337",
"fax_number": "305-884-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 SW 24TH ST",
"address_2": "SUITE 202",
"city": "MIAMI",
"state": "FL",
"postal_code": "331652075",
"telephone_number": "305-884-4337",
"fax_number": "305-884-4937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE HEALTH SERVICES CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2012-09-20",
"status": "A",
"authorized_official_last_name": "ALFONSO",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "DIRECTOR OF NURSING",
"authorized_official_telephone_number": "305-884-4337",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "20314096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "650985101",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "650985100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "109339",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.