Eagle Assisted Living

LBN: Eagle Assisted Living
Eagle Assisted Living is an health care organization with primary practice located at 1745 Pike Ave , Richland WA 99354-2295. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Eagle Assisted Living can be contacted via phone (509) 946-8095, or through Weldon, Jerry via phone (509) 946-8095.

Contact Information

Primary practice address
1745 Pike Ave Richland WA 99354-2295
Phone: (509) 946-8095
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weldon, Jerry
Phone: (509) 946-8095

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X BH1741 Washington

Profile Details

NPI number 1619053352
LBN Legal business name Eagle Assisted Living
DBA Doing business as
Authorized official Weldon, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619053352 NPPES
Washington MEDICAID 383641

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