Eagle Island Group, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EAGLE ISLAND GROUP, LLC

Doing business as

Brightstar Care of Wilmington and Brunswick County

Practice address

2709 Market St
Wilmington, NC 28403-1258

Phone

(336) 599-9555

Fax

(336) 599-9557

NPI assigned

Nov 10, 2020

Last updated

Sep 19, 2023By 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

Mr. Edward M Collins III

Title

Owner

Phone

(910) 599-9555

Specialties & licenses 2

Addresses

Other names 1

• Brightstar Care of Wilmington and Brunswick County Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1912509522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031258",
            "telephone_number": "336-599-9555",
            "fax_number": "336-599-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031258",
            "telephone_number": "336-599-9555",
            "fax_number": "336-599-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE ISLAND GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-599-9555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightstar Care of Wilmington and Brunswick County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brightstar Care of Wilmington and Brunswick County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Marie Dykes, LCSW
• Dynamic Counseling Services PLLC
• Thomas Scott Dziedzic, M.D.
• Matthew J Dzurik, D.P.M.
• E. Hunter Pierce DMD PA
• Kaylynn M Eagle, LCMHCA
• Darrin Franklin Eakins, MD
• Joey William Eakins, M.D.
• Chassity Easler
• Amy Alyssa Easley, NP

• In Home Supportive Care Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.