Healthcare Provider Details

I. General information

NPI: 1497716237
Provider Name (Legal Business Name): NEXION HEALTH AT LAFAYETTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 BACQUE CRESCENT DR
LAFAYETTE LA
70503-2842
US

IV. Provider business mailing address

1430 PROGRESS WAY SUITE 108
ELDERSBURG MD
21784-6429
US

V. Phone/Fax

Practice location:
  • Phone: 337-232-0299
  • Fax: 337-237-8162
Mailing address:
  • Phone: 410-552-4800
  • Fax: 410-552-4837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number819
License Number StateLA

VIII. Authorized Official

Name: FRANCIS P KIRLEY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 410-552-4800