Fly Like an Eagle Outreach, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FLY LIKE AN EAGLE OUTREACH, INC.

Practice address

3317 E 8TH St
Long Beach, CA 90804-5008

Phone

(310) 945-8305

NPI assigned

Jul 31, 2024

Organization subpart

No

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

Authorized official

Name

Jolly Glover

Title

Executive Director

Phone

(310) 945-8305

Specialties & licenses 6

Addresses

Other names 1

• Fly Like An Eagle Outreach, Inc. Doing business as

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1972332674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 E 8TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045008",
            "telephone_number": "310-945-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 E 8TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045008",
            "telephone_number": "310-945-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLY LIKE AN EAGLE OUTREACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "JOLLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-945-8305"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fly Like An Eagle Outreach, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fly Like An Eagle Outreach, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.