EAGLE ACQUISITION IX LLC (NPI# 1629593314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629593314 |
| Entity Type | Organization |
| Organization Name | EAGLE ACQUISITION IX LLC |
| Other Organization Name | CONCORDIA NURSING AND REHABILITATION - SMITH COUNTY |
| Practice Address |
112 Health Care Dr Carthage TN 37030-1168 |
| Practice Telephone | (615) 735-0569 |
| Practice Fax Number | 6157353210 |
| Mailing Telephone | 6157350569 |
| Mailing Fax Number | 6157353210 |
| 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 | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Concordia Nursing and Rehabilitation - Smith County | Doing Business As Name - Organization |
| Street Address |
112 HEALTH CARE DR |
| City | CARTHAGE |
| State | TN |
| Zip Code | 37030-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427062363 | Kindred Nursing Centers Limited Partnership | Skilled Nursing Facility | 112 Health Care Dr, Carthage, TN 37030-1069 | 2006-07-28 |
| 1760041032 | Carthage Opco LLC | Respite Care | 112 Health Care Dr, Carthage, TN 37030-1168 | 2019-06-11 |
| 1164896445 | Peter Fraser | Occupational Therapist | 112 Health Care Dr, Carthage, TN 37030-1168 | 2015-11-24 |
| 1497040778 | Melissa Suzann Davenport | Physical Therapy Assistant | 112 Health Care Dr, Carthage, TN 37030-1168 | 2011-06-14 |
| 1891089884 | Sandra Jones | Occupational Therapy Assistant | 112 Health Care Dr, Carthage, TN 37030-1168 | 2011-06-07 |
| 1265689103 | Patricia Gail Boyd | Nurse's Aide | 112 Health Care Dr, Carthage, TN 37030-1168 | 2008-08-22 |
| 1356598452 | Jo Rita Jill Rodriguez | Nurse's Aide | 112 Health Care Dr, Carthage, TN 37030-1168 | 2008-08-20 |
| 1932363694 | Jodi Regen Gammon | Physical Therapist | 112 Health Care Dr, Carthage, TN 37030-1168 | 2008-07-11 |
| 1932363868 | Amy Rebecca Robertson | Physical Therapy Assistant | 112 Health Care Dr, Carthage, TN 37030-1168 | 2008-07-10 |
| 1225291602 | K Erri Michelle Halliburton | Physical Therapy Assistant | 112 Health Care Dr, Carthage, TN 37030-1168 | 2008-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245729052 | Lesa Hughes | Pharmacist | 1 Myer Street, Carthage, TN 37030 | 2018-05-07 |
| 1295242527 | Carthage Family Chiropractic LLC | Chiropractor | 906 Main St N, Carthage, TN 37030 | 2018-01-09 |
| 1255778692 | Smith Co Board of Education | Local Education Agency (LEA) | 126 Scms Lane, Carthage, TN 37030 | 2013-05-24 |
| 1346599685 | Tennessee Department of Health | Skilled Nursing Facility | 251 Joy Alfrod Way, Carthage, TN 37030 | 2012-08-31 |
| 1821386525 | Morlee Burgess | Family Medicine | 133 Hospital Dr Ste 500, Carthage, TN 37030 | 2011-07-14 |
| 1295033595 | Staton Southern Medical, Pllc | Family Medicine | 131 Hospital Drive, Suite 2000, Carthage, TN 37030 | 2011-03-10 |
| 1861728909 | Cristy Stumb | Nurse Practitioner | 619 N. Main St, Carthage, TN 37030 | 2009-10-24 |
| 1356505580 | Melody Lynn Key | Physical Therapy Assistant | 112 Healthcare Drive, Carthage, TN 37030 | 2008-07-16 |
| 1063530962 | Christian Sean Troutman | Chiropractor | 320 Main St North, Carthage, TN 37030 | 2007-03-27 |
| 1730222316 | Deborah D Webster | Registered Nurse | Smith County Health Department, 303 High St. N, Carthage, TN 37030 | 2007-02-14 |
| Find all providers in zip 37030 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1720138027 | St.luke's Management Co.,inc. | Skilled Nursing Facility | 1220 E Fairview Ave, Carthage, MO 64836-3122 | 2007-01-11 |
| 1548353063 | Beverly Enterprises - Mississippi Inc | Skilled Nursing Facility | 1101 E Franklin St, Carthage, MS 39051 | 2006-10-02 |
| 1427062363 | Kindred Nursing Centers Limited Partnership | Skilled Nursing Facility | 112 Health Care Dr, Carthage, TN 37030-1069 | 2006-07-28 |
| 1073558425 | Carthage Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 1045 West St, Carthage, NY 13619-9762 | 2006-06-19 |
| 1467408062 | Northport Health Services of Missouri, LLC | Skilled Nursing Facility | 1901 Buena Vista Ave, Carthage, MO 64836-3178 | 2006-05-25 |
| 1538157300 | Slp Carthage LLC | Skilled Nursing Facility | 701 S Market St, Carthage, TX 75633 | 2005-10-06 |
| 1639163595 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 4054 Nw Loop, Carthage, TX 75633-3346 | 2005-09-07 |
| 1528067121 | Panola 501 Partners, Lp | Skilled Nursing Facility | 501 Cottage Rd, Carthage, TX 75633-1467 | 2005-07-18 |
| 1578099958 | Clr Carthage LLC | Skilled Nursing Facility | 1045 West St, Carthage, NY 13619-9762 | 2017-05-04 |
| Find all providers in CARTHAGE | ||||
Please comment or provide details below to improve the information on EAGLE ACQUISITION IX LLC.
| 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.