MEDICARE: NEXION HEALTH AT VIVIAN, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	825	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356308860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXION HEALTH AT VIVIAN, INC.

Provider Business Mailing Address
First Line	:	6937 WARFIELD AVE
Second Line	:
City	:	SYKESVILLE
State	:	MD
Zip	:	21784-7454
Country	:	US
Telephone Number	:	410-552-4800
Fax Number	:	410-552-4837

Provider Business Practice Location Address
First Line	:	912 S PECAN ST
Second Line	:
City	:	VIVIAN
State	:	LA
Zip	:	71082-3350
Country	:	US
Telephone Number	:	318-375-2203
Fax Number	:	318-375-2866

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	FRANCIS P KIRLEY
Credential	:
Telephone Number	:	410-552-4800

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	11/03/2020

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