Eagle Acquisition IV LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EAGLE ACQUISITION IV LLC

Doing business as

Concordia Transitional Care and Rehabilitation - Rose Manor

Practice address

4230 N Roxboro St
Durham, NC 27704-1826

Phone

(919) 477-9805

Fax

(919) 479-5261

NPI assigned

Aug 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bent Philipson

Title

Managing Member

Phone

(516) 869-3700

Specialties & licenses 1

Addresses

Other names 1

• Concordia Transitional Care and Rehabilitation - Rose Manor Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407371149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041826",
            "telephone_number": "919-477-9805",
            "fax_number": "919-479-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041826",
            "telephone_number": "919-477-9805",
            "fax_number": "919-479-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE ACQUISITION IV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PHILIPSON",
        "authorized_official_first_name": "BENT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-869-3700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concordia Transitional Care and Rehabilitation - Rose Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kafui Dzirasa, MD, PHD
• Tyanna Eaddy-Harris
• Laura Taylor Eaddy, CF-SLP
• Paige Eades, PHARMD
• Kathryn Elizabeth Eager, CPNP-AC/PC
• Marcia R Eagle
• James Hamilton Eaker, D.D.S.
• Logan Alexander Eaker, DMD
• Samantha Russomagno Eaker, DNP, CPNP-PC
• Zubin John Eapen

• Skilled Nursing Facility in Durham, NC
• Providers in Durham, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.