OrganizationActive
Eagle Acquisition III LLC
NPI 1992229603 · Skilled Nursing Facility · Mayfield, KY
Provider details
- NPI number
- 1992229603
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Bent Philipson, Managing Member(516) 869-3700
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
401 Indiana Ave
Mayfield, KY 42066-1766
Phone: (270) 247-0200
Fax: (270) 247-8913
Approximate (ZIP-level) locationGet directions
Mailing address
401 Indiana Ave
Mayfield, KY 42066-1766
Other names (DBA / former)
- Doing business as
- Concordia Healthcare Center - Heritage Manor
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.