Eagle Eye Group Home, Inc.

LBN: Eagle Eye Group Home, Inc.
Eagle Eye Group Home, Inc. is an health care organization with primary practice located at 415 Eagle Eye Group Home, Inc , Kissimmee FL 34759. The organization recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Respite Care Facility / Respite Care. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Eagle Eye Group Home, Inc. can be contacted via phone (863) 547-4886, or through Annikey, Paulette Annmarie via phone (321) 978-6509.

Contact Information

Primary practice address
415 Eagle Eye Group Home, Inc Kissimmee FL 34759
Phone: (863) 547-4886
Fax: (863) 547-4993
Website:
Map and Directions
Authorized official contact:
Name: Annikey, Paulette Annmarie MEDICAID PROVIDER
Phone: (321) 978-6509

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1336894393
LBN Legal business name Eagle Eye Group Home, Inc.
DBA Doing business as
Authorized official Annikey, Paulette Annmarie MEDICAID PROVIDER
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2022
Last updated Feb 18th, 2022 - about 3 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 1336894393 NPPES
Florida MEDICAID 692345396

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