EAGLE HEALTH CARE SERVICES INC NPI 1679801088

NPI Information

  • NPI: 1679801088
  • Provider Name: EAGLE HEALTH CARE SERVICES, INC
  • Classification: Respite Care - 385H00000X
  • Entity Type: Organization
  • Address: 4806 PLAZA DR
    TYLERTOWN, MS
    ZIP 39667
  • Phone: (601) 222-0301

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NPI Details

EAGLE HEALTH CARE SERVICES, INC is a respite care in Tylertown, MS. EAGLE HEALTH CARE SERVICES, INC NPI is 1679801088. The provider is registered as an organization entity type.

The provider's business location address is:

4806 PLAZA DR
TYLERTOWN, MS
ZIP 39667-221
Phone: (601) 222-0301
Fax: (601) 222-0701

The provider's authorized official is Rhonda Marie Walker .
The authorized official title is President and has the following contact phone number (601) 341-0290.

The enumeration date for this NPI number is 11/23/2009 and was last updated on 11/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385H00000XRespite Care2194MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109679892MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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