Eagle Acquisition II, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EAGLE ACQUISITION II, LLC

Practice address

515 Greene Dr
Greenville, KY 42345-1409

Phone

(270) 338-5400

Fax

(270) 338-0507

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 Nursing and Rehabilitation - Maple 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": "1689198384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 GREENE DR",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451409",
            "telephone_number": "270-338-5400",
            "fax_number": "270-338-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 GREENE DR",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451409",
            "telephone_number": "270-338-5400",
            "fax_number": "270-338-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE ACQUISITION II, 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 Nursing and Rehabilitation - Maple",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Kaa Dukes, MSN,ARNP
• Melissa Dukes
• Donna Marillyn Dunlap, PTA
• Mary Cordellia Dwyer, APRN- BC
• William Bryan Eades, DMD
• Alicia Evans, MFT
• Family Practice of Greenville PSC
• Angela Fitzhugh
• Nancy Elaine Floyd, LCSW
• Cheri Lynn Fogle, ARNP

• Skilled Nursing Facility in Greenville, KY
• Providers in Greenville, KY by specialty
• Skilled Nursing Facility in Kentucky

• 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.