Eagles Wings Homes LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EAGLES WINGS HOMES LLC

Practice address

1366 Woodland Pass
Fort Wayne, IN 46818-6903

Phone

(417) 460-8801

NPI assigned

Jan 17, 2025

Organization subpart

No

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

Authorized official

Name

Miss Mayokun Adeyale

Title

Manager

Phone

(317) 460-8801

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1942011978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 WOODLAND PASS",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468186903",
            "telephone_number": "417-460-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 WOODLAND PASS",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468186903",
            "telephone_number": "417-460-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES WINGS HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "ADEYALE",
        "authorized_official_first_name": "MAYOKUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-460-8801",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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": []
}

• Anthony Dzigbordi
• Jessica Marie Dziondziak
• Jadyn Eader
• Marvin Preston Eady Jr., DDS
• Eagles Wings Home Health LLC
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• Takita Earl
• Sydni Early
• Earthen Vessels Nurse Midwifery LLC

• In Home Supportive Care Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.