Healthcare Provider Details

I. General information

NPI: 1982632048
Provider Name (Legal Business Name): LINN COMMUNITY NURSING HOME INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 09/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 3RD ST
LINN KS
66953-9052
US

IV. Provider business mailing address

612 3RD ST P.O. BOX 325
LINN KS
66953-9052
US

V. Phone/Fax

Practice location:
  • Phone: 785-348-5551
  • Fax: 785-348-5552
Mailing address:
  • Phone: 785-348-5551
  • Fax: 785-348-5552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License NumberN101001
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberN101001
License Number StateKS

VIII. Authorized Official

Name: MRS. LORI M HUGHES
Title or Position: ADMINISTRATOR
Credential: ACHA
Phone: 785-348-5551