Provider Demographics
NPI:1073589339
Name:LINROCK INVESTMENTS, LLC
Entity Type:Organization
Organization Name:LINROCK INVESTMENTS, LLC
Other - Org Name:LINROCK HEALTH & REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-833-5627
Mailing Address - Street 1:120 BROOKSWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-4202
Mailing Address - Country:US
Mailing Address - Phone:501-833-5627
Mailing Address - Fax:501-835-6905
Practice Address - Street 1:1100 E 36TH ST
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-2215
Practice Address - Country:US
Practice Address - Phone:870-773-7515
Practice Address - Fax:870-772-4392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR729314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR15194OtherMEDIPAK PROVIDER NUMBER
AR15194OtherMEDIPAK PROVIDER NUMBER