Eagle Acquisition III LLC

Skilled Nursing Facility · Mayfield, KY

Organization Active NPI

NPI number 1992229603

Practice location

401 Indiana Ave
Mayfield, KY 42066-1766
Phone
(270) 247-0200
Fax
(270) 247-8913

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NPI record

NPI
1992229603
Entity type
Organization (Type 2)
Enumeration date
August 3, 2017
Last updated
July 21, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Authorized official

Name
Bent Philipson
Title
Managing Member
Phone
(516) 869-3700

Other names

  • Concordia Healthcare Center - Heritage Manor

About Eagle Acquisition III LLC

Eagle Acquisition III LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 401 Indiana Ave, Mayfield, KY 42066-1766. The NPI number 1992229603 was assigned on August 3, 2017 and the record was last updated on July 21, 2022.

The authorized official for this organization is Bent Philipson, Managing Member.

Frequently asked questions

What is the NPI number of Eagle Acquisition III LLC?

The NPI number is 1992229603.

What is the phone number of Eagle Acquisition III LLC?

The phone number listed for the practice location is (270) 247-0200.

Where is Eagle Acquisition III LLC located?

401 Indiana Ave, Mayfield, KY 42066-1766.

What is the taxonomy code for Eagle Acquisition III LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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