Organization Active NPI

Lindale Healthcare, LLC

  • Skilled Nursing Facility
  • Lindale, TX
National Provider Identifier
1629135041
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LINDALE HEALTHCARE, LLC
Practice address
508 Pierce St
Lindale, TX 75771-3335
Phone
(903) 882-6169
Fax
(903) 882-7458
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Ms. Sharon Kay Redd
Title
Reimbursement Specialists
Phone
(903) 881-9432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

508 Pierce St
Lindale, TX 75771-3335

Mailing address

508 Pierce St
Lindale, TX 75771-3335
Phone (903) 882-6169

Other identifiers 2

IdentifierTypeStateIssuer
000521303MedicaidTX
521303MedicaidTX

Other names 1

  • COLONIAL NURSING & REHAB Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1629135041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 PIERCE ST",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757713335",
            "telephone_number": "903-882-6169",
            "fax_number": "903-882-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 PIERCE ST",
            "city": "LINDALE",
            "state": "TX",
            "postal_code": "757713335",
            "telephone_number": "903-882-6169",
            "fax_number": "903-882-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDALE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "REDD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "REIMBURSEMENT SPECIALISTS",
        "authorized_official_telephone_number": "903-881-9432",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000521303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLONIAL NURSING & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lindale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.