Eagle Home 4 is a Adult Care Home in Raleigh, North Carolina. Eagle Home 4 practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Eagle Home 4 is 1265552053. The last update date is 2020-08-22.
Eagle Home 4's current location address is 101 N Peartree Ln, Raleigh, North Carolina. You can contact this provider via phone number 9192121658 and fax number 9192121658. The mailing address for Eagle Home 4 is 101 N Peartree Ln, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eagle Home 4 |
|---|---|
| Address | 101 N Peartree Ln, Raleigh, North Carolina |
| Phone Number | 9192121658 |
| Fax Number | 9192121658 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Nwankwo Rosemary |
| Credentials | RN |
| Telephone Number | 9198727686 |
NPI Number Detail
| NPI Number | 1265552053 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 101 N Peartree Ln |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276101823 |
| Phone Number | 9192121658 |
| Fax Number | 9192121658 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | MHL09237 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7805026 | NC | -- |
Post Comment/ Review Below
What is the Eagle Home 4's 1265552053?
The Eagle Home 4's NPI (National Provider Identifier) Number is 1265552053. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Eagle Home 4 is physically located?
The Eagle Home 4 is physically situated at the following address: 101 N Peartree Ln, Raleigh, NC, 276101823.
What is the area of specialization for Eagle Home 4, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Eagle Home 4 is Adult Care Home, and the corresponding taxonomy code that categorizes this area of expertise is 311Za0620X.
On what date did the Centers for Medicare & Medicaid Services assign the 1265552053 to Eagle Home 4?
The Centers for Medicare & Medicaid Services assigned the 1265552053 to Eagle Home 4 on 2007-03-29.
When was the information related to Eagle Home 4 most recently updated or refreshed?
The details pertaining to the Eagle Home 4, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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