Provider Demographics
NPI:1457312274
Name:NEXION HEALTH AT LINDEN, INC
Entity Type:Organization
Organization Name:NEXION HEALTH AT LINDEN, INC
Other - Org Name:LINDEN HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position: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 1:1204 N MOUND ST
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75961-4027
Mailing Address - Country:US
Mailing Address - Phone:936-564-4611
Mailing Address - Fax:
Practice Address - Street 1:1201 W HOUSTON ST
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:TX
Practice Address - Zip Code:75563-5478
Practice Address - Country:US
Practice Address - Phone:903-756-5537
Practice Address - Fax:903-756-5938
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEXION HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-31
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115008314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX004617OtherSTATE VENDOR NUMBER
TX001003195Medicaid
TX1607913Medicaid
TX1607913Medicaid