NPIMap

Organization Active NPI

Eagle Home #7

  • Adult Care Home Facility
  • Raleigh, NC
National Provider Identifier
1992971709
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
MHL092690 Issued in NC
Legal business name
EAGLE HOME #7
Practice address
4428 Louisburg Rd
Suite 109
Raleigh, NC 27616-4302
Phone
(919) 872-7686
Fax
(919) 872-7456
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Rosemary Nwankwo, RN, BSN, QP
Title
Administrator
Phone
(919) 872-7686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X MHL092690 NC Primary

Addresses

Primary practice location

4428 Louisburg Rd
Suite 109
Raleigh, NC 27616-4302

Mailing address

7608 Fiesta Way
Raleigh, NC 27615-3316
Phone (919) 844-6602

National Provider Directory

National Provider Directory
Tax ID family
Eagle Home 52 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1992971709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7608 FIESTA WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153316",
            "telephone_number": "919-844-6602",
            "fax_number": "919-844-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 LOUISBURG RD",
            "address_2": "SUITE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164302",
            "telephone_number": "919-872-7686",
            "fax_number": "919-872-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HOME #7",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "NWANKWO",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-872-7686",
        "authorized_official_credential": "RN, BSN, QP"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL092690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.