Eagle Home Care, L.L.C.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EAGLE HOME CARE, L.L.C.

Practice address

2700 Keith St NW
Suite 3
Cleveland, TN 37312-3765

Phone

(423) 472-2225

NPI assigned

Jan 24, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Bennie Annette Green

Title

Chief Manager

Phone

(423) 472-2225

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1710282603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 KEITH ST NW",
            "address_2": "SUITE 3",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123765",
            "telephone_number": "423-472-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 KEITH ST NW",
            "address_2": "SUITE 3",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123765",
            "telephone_number": "423-472-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HOME CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BENNIE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "423-472-2225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Cleveland, TN
• Providers in Cleveland, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.