Healthcare Provider Details

I. General information

NPI: 1538298153
Provider Name (Legal Business Name): EAGLE HEALTHCARE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 GARNER RD
RALEIGH NC
27610-3923
US

IV. Provider business mailing address

1500 GARNER RD STE A
RALEIGH NC
27610-6669
US

V. Phone/Fax

Practice location:
  • Phone: 919-264-7446
  • Fax: 919-872-7456
Mailing address:
  • Phone: 919-438-9744
  • Fax: 919-872-7456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC1628
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ROSEMARY NWANKWO
Title or Position: CEO
Credential:
Phone: 919-872-7686