Provider Demographics
NPI:1497716237
Name:NEXION HEALTH AT LAFAYETTE, INC.
Entity Type:Organization
Organization Name:NEXION HEALTH AT LAFAYETTE, INC.
Other - Org Name:LAFAYETTE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:KIRLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-552-4800
Mailing Address - Street 1:1430 PROGRESS WAY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6429
Mailing Address - Country:US
Mailing Address - Phone:410-552-4800
Mailing Address - Fax:410-552-4837
Practice Address - Street 1:325 BACQUE CRESCENT DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2842
Practice Address - Country:US
Practice Address - Phone:337-232-0299
Practice Address - Fax:337-237-8162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA819314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1510254Medicaid
LA=========0OtherBCBSLA
LA1510254Medicaid