- Practice location
- 246 Auburn St Apt 39, Portland, ME 04103-2155
- Phone
- 207-671-7635
- Fax
- —
- Last updated
- January 30, 2022
Eagle Residential Services LLC is a healthcare organization based in Portland, ME. Eagle Residential Services LLC practices in Portland, ME. The NPI Number for Eagle Residential Services LLC is 1063093904. The current practice location address for Eagle Residential Services LLC is 246 Auburn St Apt 39, Portland, ME 04103-2155 and can be reached out via phone at 207-671-7635.
Provider Profile Details
- NPI Number
- 1063093904
- Provider Name
- Eagle Residential Services LLC
- Provider Entity Type
- Organization
- Address
- 246 Auburn St Apt 39, Portland, ME 04103-2155
- Phone Number
- 207-671-7635
- Primary Taxonomy
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X
- Organization Subpart
- No
- Authorized Official
- Mr. Christian Muhunde · Managing Member · 207-671-7635
- Provider Enumeration Date
- April 20, 2021
- Last Update Date
- January 30, 2022
- Certification Date
- January 30, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 246 Auburn St Apt 39
Portland, ME 04103-2155 - City
- Portland
- State
- Maine
- Zip
- 04103-2155
- Phone Number
- 207-671-7635
Provider Business Mailing Address Details
- Address
- 246 Auburn St Apt 39
Portland, ME 04103-2155 - City
- Portland
- State
- ME
- Zip
- 04103-2155
- Phone Number
- 207-671-7635
License Information
- Taxonomy
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Eagle Residential Services LLC?
The NPI number of Eagle Residential Services LLC is 1063093904. It was assigned on April 20, 2021 and is currently active in the NPPES registry.
What is the specialty of Eagle Residential Services LLC?
Eagle Residential Services LLC is registered under the primary taxonomy Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320600000X).
Where does Eagle Residential Services LLC practice?
The practice location is 246 Auburn St Apt 39, Portland, ME 04103-2155. The office can be reached at 207-671-7635 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063093904 directly on the NPPES registry website.