Eagle Home Health Care Inc

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

0006559 Issued in MO

Legal business name

EAGLE HOME HEALTH CARE INC

Practice address

5801 Park LN
Saint Louis, MO 63147-1021

Phone

(314) 383-2417

Fax

(314) 383-2417

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jornel Henry Williams Sr.

Title

President

Phone

(314) 383-2417

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1760664627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 PARK LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471021",
            "telephone_number": "314-383-2417",
            "fax_number": "314-383-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 PARK LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471021",
            "telephone_number": "314-383-2417",
            "fax_number": "314-383-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JORNEL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-383-2417",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "MO",
            "license": "0006559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adrienne Lachelle Eaglin, MSW, LCSW
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• John C Eagon, MD

• Home Health Aide in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.