EAGLE HEALTH CARE SERVICES, INC (NPI# 1679801088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679801088 |
| Entity Type | Organization |
| Organization Name | EAGLE HEALTH CARE SERVICES, INC |
| Practice Address |
4806 Plaza Dr Tylertown MS 39667-9221 |
| Mailing Address |
37 Coleman Rd Jayess MS 39641-8345 |
| Practice Telephone | 6012220301 |
| Practice Fax Number | 6012220701 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |
| Authorized Official Name | RHONDA MARIE WALKER (PRESIDENT) |
| Authorized Official Telephone | 6013410290 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 2194 | MS | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09679892 | 05 |
| Street Address |
4806 PLAZA DR |
| City | TYLERTOWN |
| State | MS |
| Zip Code | 39667-9221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891212221 | Lavarshia Newsome-pittman | Pharmacist | 3000 Plaza Drive, Tylertown, MS 39667 | 2017-08-25 |
| 1891171039 | Tanya Marie Holmes-morris | Home Health Aide | 42 West Mt. Olive Rd, Tylertown, MS 39667 | 2015-08-10 |
| 1376776930 | Family Health Care Clinic, Inc. | Clinic/Center | 225 Saint Paul Road, Tylertown, MS 39667 | 2009-08-31 |
| 1427221290 | Family Health Care Clinic, Inc. | Clinic/Center | 113 Enoch St, Tylertown, MS 39667 | 2008-04-11 |
| 1275651879 | John C Barrett | Dentist | 75 Old Hwy 98 E, Tylertown, MS 39667 | 2007-03-26 |
| 1497895551 | L & L Hospice, Inc. | Hospice Care, Community Based | 423 A Beulah, Tylertown, MS 39667 | 2007-02-07 |
| 1114009610 | Ruthie L Lewis | Licensed Practical Nurse | 423a Beulah Avenue, Tylertown, MS 39667 | 2006-10-20 |
| 1245512417 | Walthall General Hospital | Internal Medicine | 100 Hospital Drive, Tylertown, MS 39667 | 2011-09-14 |
| 1255649604 | Walthall General Hospital | General Acute Care Hospital | 200 Hospital Dr, Tylertown, MS 39667 | 2010-09-20 |
| 1407499296 | Belinda May Ratcliff | Pharmacist | 201 Hospital Dr, Tylertown, MS 39667-2019 | 2019-10-23 |
| Find all providers in zip 39667 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285060210 | A Nursing Touch | Respite Care | 58 Brandon Bay Loop, Tylertown, MS 39667-7169 | 2013-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050237 | Unified Home & Respite Care, LLC | Respite Care | 317 Highland Blvd Ste G, Natchez, MS 39120-4634 | 2020-10-14 |
| 1124636659 | Graceful Serenity LLC | Respite Care | 1440 Dunn Pease Rd, Raymond, MS 39154-8252 | 2020-07-21 |
| 1194342592 | Tashanda Chamberlin | Respite Care | 100 Hopper Ave, Dekalb, MS 39328 | 2020-07-01 |
| 1801412838 | Ycsc Gulf Coast Ms, LLC | Respite Care | 770 Water St Ste 428, Biloxi, MS 39530-4220 | 2020-06-25 |
| 1215552005 | Demetress Brent | Respite Care | 2941 Sheila Dr, Jackson, MS 39209-6125 | 2020-06-08 |
| 1912531427 | Magnolia Personal Care LLC | Respite Care | 69 Bo Stampley Rd, Fayette, MS 39069-4879 | 2020-02-24 |
| 1750935714 | La Respite, LLC | Respite Care | 701 Bowie Ln, Greenwood, MS 38930-5935 | 2019-07-29 |
| 1851944524 | Tracey Bernard Scurlock Jr. | Respite Care | 3747 Eureka Rd, Batesville, MS 38606-8064 | 2019-07-22 |
| 1295394377 | Divinity Community Living, Inc. | Respite Care | 405 Briarwood Dr Ste 108q, Jackson, MS 39206-3032 | 2019-06-11 |
| 1871062521 | Live, Laugh and Love Homecare Services | Respite Care | 604 Highway 80 W Ste Roffice1, Clinton, MS 39056-4108 | 2018-11-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.