Provider Demographics
NPI:1154742567
Name:EAGLE CASE MANAGEMENT LLC
Entity type:Organization
Organization Name:EAGLE CASE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:O
Authorized Official - Last Name:NWANGUZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-334-9035
Mailing Address - Street 1:7405 N CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64152-2332
Mailing Address - Country:US
Mailing Address - Phone:816-746-6556
Mailing Address - Fax:816-756-6353
Practice Address - Street 1:7735 WASHINGTON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-2444
Practice Address - Country:US
Practice Address - Phone:816-746-6556
Practice Address - Fax:816-746-6353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-02
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health