Eagles Nest Residential Euclid

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

EAGLES NEST RESIDENTIAL EUCLID

Practice address

1802 E Dobbins Rd
Phoenix, AZ 85042-8500

Phone

(602) 305-9599

Fax

(602) 268-4834

NPI assigned

Nov 21, 2019

Organization subpart

No

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

Authorized official

Name

Ted McClure

Title

Director

Phone

(602) 305-9599

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1851937189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 E EUCLID AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850428059",
            "telephone_number": "602-305-9599",
            "fax_number": "602-268-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 E DOBBINS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850428500",
            "telephone_number": "602-305-9599",
            "fax_number": "602-268-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES NEST RESIDENTIAL EUCLID",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-305-9599"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle House LLC
• Eagle Med Group, LLC
• Eagle Treatment Center LLC
• Samantha Eagle, MSOT, OTR/L
• Eagles Nest Group Home, Dba
• Eagles Nest Thunderbird LLC
• Lateshia Eagletail
• Tamera Eakes
• Danielle Elizabeth Eames, MD
• Taylor Lee Eames, COTA

• Emotionally Disturbed Childrens' Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.