Provider Demographics
NPI:1912509522
Name:EAGLE ISLAND GROUP, LLC
Entity Type:Organization
Organization Name:EAGLE ISLAND GROUP, LLC
Other - Org Name:BRIGHTSTAR CARE OF WILMINGTON AND BRUNSWICK COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:910-599-9555
Mailing Address - Street 1:2709 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-1258
Mailing Address - Country:US
Mailing Address - Phone:336-599-9555
Mailing Address - Fax:336-599-9557
Practice Address - Street 1:2709 MARKET ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-1258
Practice Address - Country:US
Practice Address - Phone:336-599-9555
Practice Address - Fax:336-599-9557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251F00000XAgenciesHome Infusion