Active NPI
Lindale Healthcare, LLC
- Skilled Nursing Facility
- Lindale, TX
National Provider Identifier
1629135041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000521303 | Medicaid | TX | |
| 521303 | Medicaid | TX |
Other names 1
- COLONIAL NURSING & REHAB
National Provider Directory
National Provider DirectoryNPI 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.