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EAGLE ESTATES INC.
NPI 1184757098
Assisted Living Facility in Independence, KS

Active since March 13, 2007CLIA 17D0969645 · Waiver
1354 TAYLOR RD, INDEPENDENCE, KS 67301(620) 331-1662 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Eagle Estates Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE ESTATES INC. (NPI 1184757098) is a healthcare organization registered as an assisted living facility in Independence, Kansas and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 20, 2028 and lists Jennifer Jarnagin, Operator, as its authorized official.

NPPES Registry Identity

NPI1184757098
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEAGLE ESTATES INC.
Location Address1354 TAYLOR RDIndependence, KS 67301-5400
Mailing AddressPo Box 1012Independence, KS 67301-1012
Phone(620) 331-1662
Organization SubpartNo
Authorized OfficialJennifer JarnaginOperator · (620) 331-1662
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184757098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in KS · N063011
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1354 TAYLOR RD, Independence, KS 67301
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D0969645

Eagle Estates · Independence, KS
Active · expires Jan 20, 2028
CLIA Number17D0969645
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorJennifer R. Tucker
Laboratory Phone(620) 331-1662
Laboratory LocationEagle Estates1354 Taylor Road, Independence, KS 67301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle Estates Inc.'s NPI number?

The NPI number for Eagle Estates Inc. is 1184757098. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Eagle Estates Inc. located?

Eagle Estates Inc. is located at 1354 Taylor Rd, Independence, KS 67301. The listed phone number is (620) 331-1662.

What is Eagle Estates Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Eagle Estates Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0969645) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eagle Estates Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.