Organization Active NPI

Eagle Support Healthcare LLC

  • Home Health Agency
  • Milton, MA
National Provider Identifier
1922899780
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EAGLE SUPPORT HEALTHCARE LLC
Practice address
5 Lothrop Ave
Milton, MA 02186-1407
Phone
(617) 309-8062
NPI assigned
May 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Doris Odion- UkpeborNPI 1619649118
Title
Manager
Phone
(617) 309-8062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5 Lothrop Ave
Milton, MA 02186-1407

Mailing address

5 Lothrop Ave
Milton, MA 02186-1407
Phone (617) 309-8062

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1922899780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LOTHROP AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021861407",
            "telephone_number": "617-309-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LOTHROP AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021861407",
            "telephone_number": "617-309-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE SUPPORT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "ODION- UKPEBOR",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-309-8062"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.