OrganizationActive
Eagle Acquisition Xv LLC
NPI 1053836726 · Assisted Living Facility · Suffolk, VA
Provider details
- NPI number
- 1053836726
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Bent Philipson, Managing Member(516) 869-3700
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
200 W Constance Rd
Suffolk, VA 23434-4413
Phone: (757) 539-8744
Fax: (757) 539-6128
Approximate (ZIP-level) locationGet directions
Mailing address
200 W Constance Rd
Suffolk, VA 23434-4413
Other names (DBA / former)
- Doing business as
- Concordia Assisted Living - Nansemond Commons
Registry dates
- Enumerated
- 2017-08-03
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.