Eagle Standard Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EAGLE STANDARD HEALTH SERVICES INC

Practice address

11100 Queens Wood Ter
Bowie, MD 20721-2217

Phone

(240) 413-6110

Fax

(301) 281-4017

NPI assigned

Aug 31, 2017

Organization subpart

No

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

Authorized official

Name

Odion Peter Imhienintama, RN

Title

Owner 2

Phone

(240) 413-6110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1861910648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 QUEENS WOOD TER",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 QUEENS WOOD TER",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212217",
            "telephone_number": "240-413-6110",
            "fax_number": "301-281-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE STANDARD HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "IMHIENINTAMA",
        "authorized_official_first_name": "ODION",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER 2",
        "authorized_official_telephone_number": "240-413-6110",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynamic Community Services, LLC
• Albert Legrand Somo Dzati
• Marilyn Bisanga Dzati
• E & E Adult Day Care Center LLC
• E Vargas DDS & Associates LLC
• Early Glow Health
• Earth Angels Inc
• Earth Angels Inc. Outpatient Rehab
• Eb Psychiatric Associates
• Lakel Ebb, RN

• Home Health Agency in Bowie, MD
• Providers in Bowie, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.