CONCORDIA ASSISTED LIVING - NANSEMOND COMMONS
NPI 1053836726
Assisted Living Facility in Suffolk, VA

Q: What is Eagle Acquisition Xv LLC's NPI number?

The NPI number for Eagle Acquisition Xv LLC is 1053836726. It was assigned to this organization in the NPPES registry on August 3, 2017. The provider is doing business as Concordia Assisted Living - Nansemond Commons.

Q: What is Eagle Acquisition Xv LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since August 03, 2017

200 W CONSTANCE RD, SUFFOLK, VA 23434(757) 539-8744(757) 539-6128 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 3, 2017 (2 updates tracked since 2017).

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About Concordia Assisted Living - Nansemond Commons NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONCORDIA ASSISTED LIVING - NANSEMOND COMMONS (NPI 1053836726) is a healthcare organization registered as an assisted living facility in Suffolk, Virginia and active in the NPI registry since August 2017. The organization lists Bent Philipson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1053836726

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEAGLE ACQUISITION XV LLC

Location Address200 W CONSTANCE RDSuffolk, VA 23434-4413

Mailing Address200 W Constance RdSuffolk, VA 23434-4413 · (757) 539-8744 · Fax (757) 539-6128

Phone(757) 539-8744

Fax(757) 539-6128

Organization SubpartNo

Authorized OfficialBent PhilipsonManaging Member · (516) 869-3700

Enumeration DateAugust 3, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1053836726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

200 W CONSTANCE RD, Suffolk, VA 23434

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Other Names 1

Doing Business AsConcordia Assisted Living - Nansemond Commons

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SHARON 01 FURNEY COTA

Contractor