AMERICAN EAGLE NEWARK LLC
NPI 1821568866
Assisted Living Facility in Newark, OH
About American Eagle Newark Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMERICAN EAGLE NEWARK LLC (NPI 1821568866) is a healthcare organization registered as an assisted living facility in Newark, Ohio and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Cory Wake, Associate, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 36D1082909
American Eagle Newark LLC, Dba Hearth Brook · Newark, OHOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 American Eagle Newark LLC's NPI number?
The NPI number for American Eagle Newark LLC is 1821568866. It was assigned to this organization in the NPPES registry on December 3, 2018.
Where is American Eagle Newark LLC located?
American Eagle Newark LLC is located at 331 Goosepond Rd, Newark, OH 43055. The listed phone number is (734) 418-9027.
What is American Eagle Newark LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does American Eagle Newark LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D1082909) is associated with this NPI, valid through April 21, 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 American Eagle Newark LLC was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# American Eagle Newark Llc · NPI 1821568866
Assisted Living Facility organization in Newark, Ohio. Organization record, active in the CMS NPPES registry since December 3, 2018.
## Identity
- **NPI:** 1821568866 (Entity type: Organization)
- **Enumerated:** December 3, 2018
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Cory Wake, ASSOCIATE
## Practice location
- **Address:** 331 GOOSEPOND RD, Newark, OH 43055-3184
- **Phone:** (734) 418-9027
## Record status
- **NPPES last updated:** December 3, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821568866) · Data from the CMS NPPES public registry.