CONCORDIA NURSING AND REHABILITATION CENTER - LAFAYETTE
NPI 1265956965
Skilled Nursing Facility in Fayetteville, GA

Active since August 03, 2017
110 BRANDYWINE BLVD, FAYETTEVILLE, GA 30214(770) 461-2928(770) 461-8507 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Concordia Nursing And Rehabilitation Center - Lafayette NPPES

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

CONCORDIA NURSING AND REHABILITATION CENTER - LAFAYETTE (NPI 1265956965) is a healthcare organization registered as a skilled nursing facility in Fayetteville, Georgia and active in the NPI registry since August 2017. The organization lists Bent Philipson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1265956965
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEAGLE ACQUISITION I LLC
Location Address110 BRANDYWINE BLVDFayetteville, GA 30214-1500
Mailing Address110 Brandywine BlvdFayetteville, GA 30214-1500 · (770) 461-2928 · Fax (770) 461-8507
Fax(770) 461-8507
Organization SubpartNo
Authorized OfficialBent PhilipsonManaging Member · (516) 869-3700
Enumeration DateAugust 3, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1265956965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(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.
110 BRANDYWINE BLVD, Fayetteville, GA 30214

Other Names 1

Doing Business AsConcordia Nursing And Rehabilitation Center - Lafayette

Other Identifiers 1

Medicaid00399737AGA

Other Providers at the Same Location NPPES 11

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

Licensed Practical Nurse
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Physical Therapist
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Physical Therapy Assistant
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Occupational Therapy Assistant
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Physical Therapy Assistant
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Physical Therapist
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Skilled Nursing Facility
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214
Skilled Nursing Facility
110 BRANDYWINE BLVD
FAYETTEVILLE, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle Acquisition I LLC's NPI number?

The NPI number for Eagle Acquisition I LLC is 1265956965. It was assigned to this organization in the NPPES registry on August 3, 2017. The provider is doing business as Concordia Nursing And Rehabilitation Center - Lafayette.

Where is Eagle Acquisition I LLC located?

Eagle Acquisition I LLC is located at 110 Brandywine Blvd, Fayetteville, GA 30214. The listed phone number is (770) 461-2928.

What is Eagle Acquisition I LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Eagle Acquisition I LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.