Eagles Nest Group Home, Dba
NPI 1639596927 · Emotionally Disturbed Childrens' Residential Treatment Facility · Phoenix, AZ
Eagles Nest Group Home, Dba is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Phoenix, AZ (NPI 1639596927).
Provider details
- NPI number
- 1639596927
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ted Mcclure, Executive-Director(602) 568-1441
- License
- BH4442 (DC)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Eagles Nest Boys Residential Agency
Registry dates
- Enumerated
- 2014-03-25
- Last updated
- 2014-03-25
Frequently asked questions
- What is Eagles Nest Group Home, Dba's NPI number?
- Eagles Nest Group Home, Dba's National Provider Identifier (NPI) is 1639596927, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagles Nest Group Home, Dba?
- Eagles Nest Group Home, Dba is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Eagles Nest Group Home, Dba located?
- Eagles Nest Group Home, Dba's practice location on file with NPPES is 1802 E Dobbins Rd, Phoenix, AZ 85042-8500.
- What is Eagles Nest Group Home, Dba's phone number?
- The practice phone number listed in the NPPES registry for Eagles Nest Group Home, Dba is (602) 568-1441.
- Who is the authorized official for Eagles Nest Group Home, Dba?
- The authorized official listed on Eagles Nest Group Home, Dba's NPPES record is Ted Mcclure, Executive-Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagles Nest Group Home, Dba's NPI active?
- Yes — Eagles Nest Group Home, Dba's NPI (1639596927) is active in the NPPES registry as of the last update on 2014-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.