Eagle's Trace Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EAGLE'S TRACE HOME CARE, LLC

Doing business as

Eagle's Trace Home Care

Practice address

14703 Eagle Vista Dr
Houston, TX 77077-5394

Phone

(281) 249-7130

NPI assigned

Feb 2, 2021

Last updated

Feb 2, 2021By 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

Kristen Malejan

Title

Resident Life Director

Phone

(281) 249-7271

Specialties & licenses 1

Addresses

Other names 1

• EAGLE'S TRACE HOME CARE Doing business as

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1760073787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14703 EAGLE VISTA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14703 EAGLE VISTA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775394",
            "telephone_number": "281-249-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE'S TRACE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "MALEJAN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "RESIDENT LIFE DIRECTOR",
        "authorized_official_telephone_number": "281-249-7271"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAGLE'S TRACE HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eagle E Personal Assistance Service L.L.C.
• Eagle E Personal Assistance Service L.L.C.
• Eagle EMS LLC (Eagle EMS)
• Eagle Eye Center Bellaire LLC
• Eagle-I Behavioral Health Services PLLC
• Eagle's Trace Inc (Continuing Care at Eagle's Trace)
• Eagle's Trace Inc (Outpatient Rehabilitation Agency at Eagle's Trace)
• Eagles Nest Palliative Hospice LLC
• Paola Eagles, DDS
• Eaglesys Health Care Services, Inc

• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.