Provider Demographics
NPI:1982632048
Name:LINN COMMUNITY NURSING HOME INC.
Entity Type:Organization
Organization Name:LINN COMMUNITY NURSING HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:ACHA
Authorized Official - Phone:785-348-5551
Mailing Address - Street 1:612 3RD ST
Mailing Address - Street 2:P.O. BOX 325
Mailing Address - City:LINN
Mailing Address - State:KS
Mailing Address - Zip Code:66953-9052
Mailing Address - Country:US
Mailing Address - Phone:785-348-5551
Mailing Address - Fax:785-348-5552
Practice Address - Street 1:612 3RD ST
Practice Address - Street 2:
Practice Address - City:LINN
Practice Address - State:KS
Practice Address - Zip Code:66953-9052
Practice Address - Country:US
Practice Address - Phone:785-348-5551
Practice Address - Fax:785-348-5552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN101001311ZA0620X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1041735201Medicaid
118080OtherBLUE CROSS BLUE SHIELD
KS1041735201Medicaid
4313260001Medicare NSC