EAGLES NEST BOYS RESIDENTIAL AGENCY
NPI 1639596927
Residential Treatment Facility, Emotionally Disturbed Children in Phoenix, AZ

Q: What is Eagles Nest Group Home, Dba's NPI number?

The NPI number for Eagles Nest Group Home, Dba is 1639596927. It was assigned to this organization in the NPPES registry on March 25, 2014. The provider is also known as Eagles Nest Boys Residential Agency.

Q: What is Eagles Nest Group Home, Dba's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since March 25, 2014

1802 E DOBBINS RD, PHOENIX, AZ 85042(602) 568-1441(602) 268-4834 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Eagles Nest Boys Residential Agency NPPES

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

EAGLES NEST BOYS RESIDENTIAL AGENCY (NPI 1639596927) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Phoenix, Arizona and active in the NPI registry since March 2014. The organization lists Ted D Mcclure, Executive-director, as its authorized official.

NPPES Registry Identity

NPI1639596927

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameEAGLES NEST GROUP HOME, DBA

Location Address1802 E DOBBINS RDPhoenix, AZ 85042-8500

Mailing Address1802 E Dobbins RdPhoenix, AZ 85042-8500 · (602) 568-1441 · Fax (602) 268-4834

Phone(602) 568-1441

Fax(602) 268-4834

Organization SubpartNo

Authorized OfficialTed D McclureExecutive-director · (602) 568-1441

Enumeration DateMarch 25, 2014

✔ NPI 1639596927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in DC · BH4442

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

1802 E DOBBINS RD, Phoenix, AZ 85042

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Other Names 1

Other NameEagles Nest Boys Residential Agency

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAGLES NEST RESIDENTIAL EUCLID

Residential Treatment Facility, Emotionally Disturbed Children

1802 E DOBBINS RD
PHOENIX, AZ 85042

Maricopa County (602) 305-9599

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 Eagles Nest Group Home, Dba's NPI number?

The NPI number for Eagles Nest Group Home, Dba is 1639596927. It was assigned to this organization in the NPPES registry on March 25, 2014. The provider is also known as Eagles Nest Boys Residential Agency.

Where is Eagles Nest Group Home, Dba located?

Eagles Nest Group Home, Dba is located at 1802 E Dobbins Rd, Phoenix, AZ 85042. The listed phone number is (602) 568-1441.

What is Eagles Nest Group Home, Dba's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Eagles Nest Group Home, Dba was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.