EAGLEHOME1
NPI 1821118670
Custodial Care Facility - Adult Care Home in Zebulon, NC

Active since March 29, 2007
804 W GANNON AVE, ZEBULON, NC 27597(919) 269-9173(919) 269-9173 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eaglehome1 NPPES

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

EAGLEHOME1 (NPI 1821118670) is a healthcare organization registered as an adult care home in Zebulon, North Carolina and active in the NPI registry since March 2007. The organization lists Rosemary Nwankwo, Administration, as its authorized official.

NPPES Registry Identity

NPI1821118670
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameEAGLEHOME1
Location Address804 W GANNON AVEZebulon, NC 27597-2516
Mailing Address804 W Gannon AveZebulon, NC 27597-2516 · (919) 269-9173 · Fax (919) 269-9173
Fax(919) 269-9173
Organization SubpartNo
Authorized OfficialRosemary NwankwoAdministration · (919) 269-9173
Enumeration DateMarch 29, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1821118670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
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 environment.

804 W GANNON AVE, Zebulon, NC 27597

Other Identifiers 1

Medicaid7803989NC

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821118670, enumerated as an "organization" on March 29, 2007.

The provider is located at 804 W GANNON AVE ZEBULON, NC 27597 and the phone number is (919) 269-9173.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.