EAGLE ACQUISITION X LLC (NPI# 1669997326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669997326 |
| Entity Type | Organization |
| Organization Name | EAGLE ACQUISITION X LLC |
| Other Organization Name | CONCORDIA TRANSITIONAL CARE AND REHABILITATION - MARYVILLE |
| Practice Address |
1012 Jamestown Way Maryville TN 37803-5865 |
| Practice Telephone | (865) 984-7400 |
| Practice Fax Number | 8659819209 |
| Mailing Telephone | 8659847400 |
| Mailing Fax Number | 8659819209 |
| 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 Transitional Care and Rehabilitation - Maryville | Doing Business As Name - Organization |
| Street Address |
1012 JAMESTOWN WAY |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37803-5865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174544258 | Kindred Nursing Centers Limited Partnership | Skilled Nursing Facility | 1012 Jamestown Way, Maryville, TN 37803-5865 | 2006-07-22 |
| 1316506587 | Maryville Jamestown Opco LLC | Respite Care | 1012 Jamestown Way, Maryville, TN 37803-5865 | 2019-06-11 |
| 1558787044 | Karol Cooper | Physical Therapist | 1012 Jamestown Way, Maryville, TN 37803-5865 | 2014-03-09 |
| 1669815163 | Tana Hill | Nurse Practitioner | 1012 Jamestown Way, Maryville, TN 37803-5865 | 2013-04-15 |
| 1225355936 | Johnna Jo Peralta | Physical Therapist | 1012 Jamestown Way, Maryville, TN 37803-5865 | 2010-04-21 |
| 1811147432 | Carol Bales | Occupational Therapy Assistant | 1012 Jamestown Way, Maryville, TN 37803-5865 | 2008-09-19 |
| 1316196090 | Ricardo Gutierrez | Physical Therapist | 1012 Jamestown Way, Maryville, TN 37803-5865 | 2008-09-17 |
| 1508015058 | Marie King | Physical Therapy Assistant | 1012 Jamestown Way, Maryville, TN 37803-5865 | 2008-09-09 |
| 1225286693 | Veronica Sawyer | Physical Therapist | 1012 Jamestown Way, Maryville, TN 37803-5865 | 2008-08-28 |
| 1285881631 | Richard Allen Walker | Occupational Therapy Assistant | 1012 Jamestown Way, Maryville, TN 37803-5865 | 2008-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964672 | Mary Kathleen Gravatt | Physical Therapy Assistant | 1750 Linda Ln, Maryville, TN 37803 | 2018-06-05 |
| 1235350828 | Thomas Robert Schlitt | Physical Therapist | 833 Lawrence Avenue, Maryville, TN 37803 | 2007-05-01 |
| 1437278769 | Selena Lynette Reed | Dietitian, Registered | 1759 Old Niles Ferry Rd, Maryville, TN 37803 | 2007-03-28 |
| 1386775641 | Mary W Tucker | Nurse Practitioner | 116 Chantilly Lane, Maryville, TN 37803 | 2007-03-08 |
| 1518098045 | Wal-mart Stores East, L.p. | Technician/Technologist | 2410 Us Hwy 411 South, Maryville, TN 37803 | 2007-03-08 |
| 1265529069 | Robert F Fekete | Pharmacist | 1524 Woodward Court, Maryville, TN 37803 | 2006-10-05 |
| 1336234848 | Edwin Terry Webb | Pharmacist | 131 Montgomery Lane, Maryville, TN 37803 | 2006-10-03 |
| 1891793014 | Rebecca Lynn Bunch | Counselor | 627 Smithview Drive, Maryville, TN 37803 | 2005-07-12 |
| 1770788895 | Janaan Manney Branch | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-06-19 |
| 1396860185 | Caroline Rech | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-03-20 |
| Find all providers in zip 37803 | ||||
| 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 |
|---|---|---|---|---|
| 1619295409 | Tiffany Care Centers, Inc. | Skilled Nursing Facility | 22371 State Highway 46, Maryville, MO 64468-8157 | 2010-05-04 |
| 1497850978 | Parkdale Manor Incorporated | Skilled Nursing Facility | 814 W South Ave, Maryville, MO 64468-2772 | 2006-09-13 |
| 1346261435 | Kindred Nursing Centers Limited Partnership | Skilled Nursing Facility | 307 N 5th St, Maryville, TN 37804-2921 | 2006-07-22 |
| 1174544258 | Kindred Nursing Centers Limited Partnership | Skilled Nursing Facility | 1012 Jamestown Way, Maryville, TN 37803-5865 | 2006-07-22 |
| 1881625804 | Colonial Development, Inc. | Skilled Nursing Facility | 2034 Cochran Rd, Maryville, TN 37803-2807 | 2006-07-06 |
| 1831138890 | Elmwood Nursing & Rehabilitation Center, L.L.C. | Skilled Nursing Facility | 152 Wilma Dr, Maryville, IL 62062-5435 | 2006-06-05 |
| 1902853658 | Beverly Enterprises - Missouri Inc | Skilled Nursing Facility | 524 N Laura St, Maryville, MO 64468-1955 | 2006-05-28 |
| 1164498994 | Blount Memorial Hospital, Inc. | Skilled Nursing Facility | 2320 E Lamar Alexander Pkwy, Maryville, TN 37804-5316 | 2006-02-23 |
| 1346212024 | Asbury, Inc. | Skilled Nursing Facility | 2648 Sevierville Rd, Maryville, TN 37804-3643 | 2006-02-06 |
| 1467449413 | Village Care Center, Inc | Skilled Nursing Facility | 810 E Edwards St, Maryville, MO 64468-2917 | 2005-10-04 |
| Find all providers in MARYVILLE | ||||
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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.