NPIMap

Organization Active NPI

Eagle Home #9

  • Adult Care Home Facility
  • Raleigh, NC
National Provider Identifier
1710252788
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
562412291 Issued in NC
Legal business name
EAGLE HOME #9
Practice address
627 Donald Ross Dr
Raleigh, NC 27610-2817
Phone
(919) 803-3130
NPI assigned
Mar 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Rosemary Nwankwo
Title
Administrator
Phone
(919) 872-7686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 562412291 NC Primary

Addresses

Primary practice location

627 Donald Ross Dr
Raleigh, NC 27610-2817

Mailing address

4428 Louisburg Rd
Suite 109
Raleigh, NC 27616-4302
Phone (919) 803-3130

National Provider Directory

National Provider Directory
Tax ID family
Eagle Home 64 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

627 Donald Ross Dr
Raleigh, NC 27610
Phone (919) 272-7691

NPI Registry JSON

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1710252788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 LOUISBURG RD",
            "address_2": "SUITE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164302",
            "telephone_number": "919-803-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 DONALD ROSS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102817",
            "telephone_number": "919-803-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HOME #9",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "NWANKWO",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-872-7686"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "562412291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.