Eagle Grace Health Care LLC.

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

EAGLE GRACE HEALTH CARE LLC.

Practice address

260 Northland Blvd Ste 114B
Cincinnati, OH 45246-3726

Phone

(513) 771-0843

Fax

(513) 771-0492

NPI assigned

Aug 29, 2019

Organization subpart

No

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

Authorized official

Name

Denis Tshiaba MulundaNPI 1164125878

Title

Ceo

Phone

(513) 485-0109

Specialties & licenses 1

Addresses

Other names 1

• eagle grace health care Doing business as

Locations

Practitioners 1

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

• Denis Tshiaba Mulunda

  • Home Health Aide
  • Fairfield, OH
  • NPI 1164125878
  NPD Authorized official

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1942858212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NORTHLAND BLVD STE 114B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463726",
            "telephone_number": "513-771-0843",
            "fax_number": "513-771-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NORTHLAND BLVD STE 114B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463726",
            "telephone_number": "513-771-0843",
            "fax_number": "513-771-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE GRACE HEALTH CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "MULUNDA",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "TSHIABA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-485-0109"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eagle grace health care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Each 1 Teach 1 Residential Services
• Each Other Home Care
• Erin Eads
• James Matthew Eady, MD, PHARMD
• Emily M Eagen, M.D.
• Gavriel Eagle, CT
• Teresa Augusta Eagle
• Keana Eakins
• Leeann K Eakins, LISW-S
• Ear Medical Center, Inc.

• Home Health Aide in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.