=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780489211
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | IONELA M KRULEWICH DBA EAGLE CARE TN
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/18/2025
-----------------------------------------------------
Last Update Date | 02/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 600 CATOOSA RD
-----------------------------------------------------
City | WARTBURG
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37887-4033
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-816-8330
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 600 CATOOSA RD
-----------------------------------------------------
City | WARTBURG
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37887-4033
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 423-539-6825
-----------------------------------------------------
Fax | 423-717-5662
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | IONELA MAGDALENA KRULEWICH
-----------------------------------------------------
Credential | CEO
-----------------------------------------------------
Telephone | 423-539-6825
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------