Basic Information
Provider Information
NPI: 1801217054
EntityType: 2
ReplacementNPI:  
OrganizationName: NEXION HEALTH AT LINDALE, INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: LINDALE HEALTHCARE AND REHABILITATION CENTER
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6937 WARFIELD AVE
Address2:  
City: SYKESVILLE
State: MD
PostalCode: 217847454
CountryCode: US
TelephoneNumber: 4105524800
FaxNumber: 4105524837
Practice Location
Address1: 215 MARGARET ST
Address2:  
City: LINDALE
State: TX
PostalCode: 757713282
CountryCode: US
TelephoneNumber: 9038821061
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/13/2013
LastUpdateDate: 12/13/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: KIRLEY
AuthorizedOfficialFirstName: FRANCIS
AuthorizedOfficialMiddleName: P
AuthorizedOfficialTitleorPosition: CEO/PRESIDENT
AuthorizedOfficialTelephone: 4105524800
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: NEXION HEALTH AT OHI, INC.
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
314000000X  Y Nursing & Custodial Care FacilitiesSkilled Nursing Facility 

No ID Information.


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