EAGLEWOOD VILLAGE, LTD. (NPI# 1578725057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578725057 |
| Entity Type | Organization |
| Organization Name | EAGLEWOOD VILLAGE, LTD. |
| Other Organization Name | EAGLEWOOD VILLAGE |
| Practice Address |
3001 Middle Urbana Rd Springfield OH 45502-9284 |
| Practice Telephone | 9373997009 |
| Practice Fax Number | 9373908253 |
| Mailing Telephone | 9373997009 |
| Mailing Fax Number | 9373908253 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | MR. JOSEPH V GULLING (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 6148634640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 1998R | OH | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Eaglewood Village | Doing Business As Name - Organization |
| Street Address |
3001 MIDDLE URBANA RD |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45502-9284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881078129 | Ew Alf LLC | Skilled Nursing Facility | 3001 Middle Urbana Rd, Springfield, OH 45502-9284 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093232449 | Jennifer Susanne Mitchell Denney | Registered Nurse | 3710 Snyder Domer, Springfield, OH 45502 | 2017-08-26 |
| 1649512138 | Kathleen J Oxner | Internal Medicine | 2100 Emmanuel Way Ste B, Springfield, OH 45502 | 2013-03-22 |
| 1255667648 | Stacey Lynn Harpest | Licensed Practical Nurse | 2960 Dayton Springfield Road, Springfield, OH 45502 | 2009-10-20 |
| 1477714475 | Christian A Victor | Dentist | 1980 Kingsgate Rd., Suite A, Springfield, OH 45502 | 2008-06-23 |
| 1508916743 | Helen Louise Chapman | Home Health Aide | 7610 Troy Rd, Springfield, OH 45502 | 2007-01-11 |
| 1891845160 | Clark Dental Care Inc | Dentist | 1980 A Kings Gate Rd, Suite A, Springfield, OH 45502 | 2007-01-11 |
| 1144387820 | Philip Joseph Gibeau | Psychologist | 20 South Limestone St Ste 340, Springfield, OH 45502 | 2007-01-02 |
| 1730707480 | Jeffrey Blaine Randall | Counselor | 4867 Urbana Rd, Springfield, OH 45502 | 2020-07-09 |
| 1013573989 | Dion Stevens | Peer Specialist | 4867 Urbana Rd, Springfield, OH 45502 | 2019-05-15 |
| 1760820708 | Matthew Pigott | Orthopaedic Surgery | 140 W Main St, Springfield, OH 45502 | 2013-06-12 |
| Find all providers in zip 45502 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
| 1649835034 | Joyco, Inc. | Assisted Living Facility | 2030 W Mount Vernon St, Springfield, MO 65802-4846 | 2019-05-01 |
| 1033648274 | Creekside At Elfindale | Assisted Living Facility | 1601 S Fort Ave, Springfield, MO 65807-8430 | 2017-06-10 |
| 1386039659 | Snh Al Aimo Tenant, Inc. | Assisted Living Facility | 3540 E Cherokee St, Springfield, MO 65809-2833 | 2015-04-02 |
| 1023403391 | Snh Al Aimo Tenant, Inc. | Assisted Living Facility | 2410 W Chesterfield Blvd, Springfield, MO 65807-8889 | 2015-04-02 |
| 1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
| 1851793285 | Timberlake Estates Slf, Lp | Assisted Living Facility | 2521 Empowerment Rd, Springfield, IL 62703-4983 | 2014-09-17 |
| 1851664981 | Sunrise Springfield Assisted Living LLC | Assisted Living Facility | 6541 Franconia Rd, Springfield, VA 22150-1801 | 2012-02-21 |
| 1215209226 | Bslc II | Assisted Living Facility | 1302 West Sunset, Springfield, MO 65807-5943 | 2012-02-07 |
| 1497998918 | Timberlake Senior Living | Assisted Living Facility | 2521 Empowerment Road, Springfield, IL 62703 | 2009-04-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45502 |
Please comment or provide details below to improve the information on EAGLEWOOD VILLAGE, LTD..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.