Clare Eagle Nursing Services LLC

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

CLARE EAGLE NURSING SERVICES LLC

Practice address

11158 W Filmore St
Avondale, AZ 85323-7911

Phone

(480) 284-9318

NPI assigned

Jun 23, 2014

Last updated

Jul 21, 2022By 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

Lydie Asu Tako

Title

Member of LLC

Phone

(480) 284-9318

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770998296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N EUCALYPTUS PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258257",
            "telephone_number": "480-284-9318",
            "fax_number": "480-304-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11158 W FILMORE ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853237911",
            "telephone_number": "480-284-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARE EAGLE NURSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ASU TAKO",
        "authorized_official_first_name": "LYDIE",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "480-284-9318"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.