Organization Active NPI

Flying Eagle Home Care Services LLC

  • Home Health Agency
  • Randolph, MA
National Provider Identifier
1912789454
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FLYING EAGLE HOME CARE SERVICES LLC
Practice address
24 North St Ste 2
Randolph, MA 02368-4639
Phone
(888) 251-0563
NPI assigned
Oct 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Jean B Pierre, DO
Title
Manager
Phone
(888) 251-0563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

24 North St Ste 2
Randolph, MA 02368-4639

Mailing address

PO Box 2043
Brockton, MA 02305-2043
Phone (774) 240-9389

National Provider Directory

National Provider Directory

Locations

24 North St
Ste 2
Randolph, MA 02368
Phone (888) 251-0563

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1912789454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2043",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023052043",
            "telephone_number": "774-240-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NORTH ST STE 2",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684639",
            "telephone_number": "888-251-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLYING EAGLE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-251-0563",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.