EAGLE ACQUISITION VIII LLC (NPI# 1962927616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962927616 |
| Entity Type | Organization |
| Organization Name | EAGLE ACQUISITION VIII LLC |
| Other Organization Name | CONCORDIA NURSING AND REHABILITATION - FAIRPARK |
| Practice Address |
307 N 5th St Maryville TN 37804-2921 |
| Mailing Address |
Po Box 5477 Maryville TN 37802-5477 |
| Practice Telephone | (865) 983-0261 |
| Practice Fax Number | 8659845108 |
| Mailing Telephone | 8659830261 |
| Mailing Fax Number | 8659845108 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | BENT PHILIPSON (MANAGING MEMBER) |
| Authorized Official Telephone | 8659830261 |
| 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 - Fairpark | Doing Business As Name - Organization |
| Street Address |
307 N 5TH ST |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346261435 | Kindred Nursing Centers Limited Partnership | Skilled Nursing Facility | 307 N 5th St, Maryville, TN 37804-2921 | 2006-07-22 |
| 1528627791 | Maryville Fairpark Opco LLC | Respite Care | 307 N 5th St, Maryville, TN 37804-2921 | 2019-06-11 |
| 1194974352 | Jaroslaw Zabek | Physical Therapist | 307 N 5th St, Maryville, TN 37804-2921 | 2008-09-12 |
| 1710135199 | Kevin Wall | Physical Therapy Assistant | 307 N 5th St, Maryville, TN 37804-2921 | 2008-08-28 |
| 1952558421 | Tricia Shudan Jenkins | Occupational Therapy Assistant | 307 N 5th St, Maryville, TN 37804-2921 | 2008-08-26 |
| 1790940401 | Melissa Ann Keane | Physical Therapy Assistant | 307 N 5th St, Maryville, TN 37804-2921 | 2008-07-22 |
| 1194989780 | Amanda Jean Leopper | Occupational Therapist | 307 N 5th St, Maryville, TN 37804-2921 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| 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.