Organization Active NPI

Eagle Health Services Corp

  • Home Health Agency
  • Miami, FL
National Provider Identifier
1689725640
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
20314096 Issued in FL
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

Updated by the provider on Sep 20, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
650985101MedicaidFL
650985100MedicaidFL
109339OtherFLMEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.