Lynwood Nursing and Rehabilitation LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LYNWOOD NURSING AND REHABILITATION LP

Practice address

803 S Alamo Rd
Levelland, TX 79336-5149

Phone

(806) 894-2806

Fax

(806) 894-2033

NPI assigned

Sep 27, 2005

Last updated

Jan 30, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dan D. Flagg

Title

Ceo

Phone

(940) 387-4388

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1235125006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016085",
            "telephone_number": "940-387-4388",
            "fax_number": "940-380-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S ALAMO RD",
            "city": "LEVELLAND",
            "state": "TX",
            "postal_code": "793365149",
            "telephone_number": "806-894-2806",
            "fax_number": "806-894-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNWOOD NURSING AND REHABILITATION LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-387-4388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMHP CROSS-OVER",
            "identifier": "155580702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Levelland Isd
• Amber Lockett, PHARM.D.
• Lillie Mae Loggins, COTA
• Clarice Long, DPT
• Kinsey Lynn Lowrey, M.S., CCC-SLP
• Lisa J Maddox, RN
• Judith M Madura, MD
• Lynette Mary Major, SPEECH PATHOLOGIST
• Gregory Marin, D.C.
• Marquez Medical Supply

• Skilled Nursing Facility in Levelland, TX
• Providers in Levelland, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.