EAGLE ACQUISITION XV LLC (NPI# 1053836726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053836726 |
| Entity Type | Organization |
| Organization Name | EAGLE ACQUISITION XV LLC |
| Other Organization Name | CONCORDIA ASSISTED LIVING - NANSEMOND COMMONS |
| Practice Address |
200 W Constance Rd Suffolk VA 23434-4413 |
| Practice Telephone | (757) 539-8744 |
| Practice Fax Number | 7575396128 |
| Mailing Telephone | 7575398744 |
| Mailing Fax Number | 7575396128 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | BENT PHILIPSON (MANAGING MEMBER) |
| Authorized Official Telephone | 5168693700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Concordia Assisted Living - Nansemond Commons | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Eagle Acquisition XV LLC | 945 Broadway, Woodmere, New York 11598 |
| Street Address |
200 W CONSTANCE RD |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447333141 | Kindred Nursing Centers East, L.L.C. | Skilled Nursing Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2006-10-24 |
| 1366002107 | Accordius Health At Nansemond Pointe LLC | Assisted Living Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2019-06-14 |
| 1962061143 | Accordius Health At Nansemond Pointe LLC | Respite Care | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2019-06-11 |
| 1326603614 | Shaila Marcano-stewart | Occupational Therapy Assistant | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2019-05-02 |
| 1811412570 | Eagle Acquisition Xii LLC | Skilled Nursing Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2017-08-03 |
| 1811397532 | Kindred Nursing Centers East, LLC | Assisted Living Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2014-08-29 |
| 1265725246 | Melvin Joseph Baker | Occupational Therapy Assistant | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2011-05-24 |
| 1346403805 | Fenton Renee Rhaney | Occupational Therapist | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2008-07-04 |
| 1205095239 | Leroy Smith | Contractor | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2008-06-05 |
| 1760641112 | Ashley Ann Brooks Campos | Contractor | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2008-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366002107 | Accordius Health At Nansemond Pointe LLC | Assisted Living Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2019-06-14 |
| 1811397532 | Kindred Nursing Centers East, LLC | Assisted Living Facility | 200 W Constance Rd, Suffolk, VA 23434-4413 | 2014-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547425 | Noble Senior Living At Culpepper | Assisted Living Facility | 215 Southridge Pkwy, Culpeper, VA 22701-3762 | 2020-10-28 |
| 1902405566 | Noble Senior Living At Warrenton LLC | Assisted Living Facility | 239 Alexandria Pike, Warrenton, VA 20186-2947 | 2020-10-23 |
| 1083238950 | Hcp Falls Church Va Opco, LLC | Assisted Living Facility | 330 N Washington St, Falls Church, VA 22046-3431 | 2020-06-05 |
| 1316567761 | Care Oasis Assisted Living Providers LLC | Assisted Living Facility | 21573 Green Spring Rd, Abingdon, VA 24211-5847 | 2020-04-25 |
| 1316566417 | Eugene H. Bloom Retirement Center | Assisted Living Facility | 308 Weaver Ave, Emporia, VA 23847-1232 | 2020-04-09 |
| 1912533449 | Ariel Safe Haven Assisted Living, LLC | Assisted Living Facility | 9607 Leavells Rd, Fredericksburg, VA 22407-4313 | 2020-03-16 |
| 1659935880 | Silverlion Prince William Commons, LLC | Assisted Living Facility | 14080 Central Loop, Woodbridge, VA 22193-1438 | 2019-04-23 |
| 1306315627 | Dawn Coker | Assisted Living Facility | 18321 Nob Hill Dr, Triangle, VA 22172-1303 | 2018-11-15 |
| 1508341231 | Pamela Sonia Bynum-doles | Assisted Living Facility | 716 W 2nd Ave, Franklin, VA 23851-2102 | 2018-09-27 |
| 1053897413 | Brightview Residential Care | Assisted Living Facility | 1106 Snead Pl, Herndon, VA 20170-3500 | 2018-07-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.