Provider Demographics
NPI:1538979422
Name:LINDYS PLACE
Entity type:Organization
Organization Name:LINDYS PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BSN,RN
Authorized Official - Phone:256-926-9875
Mailing Address - Street 1:26296 COUNTY ROAD 87
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:AL
Mailing Address - Zip Code:36263-4421
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26296 COUNTY ROAD 87
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:AL
Practice Address - Zip Code:36263-4421
Practice Address - Country:US
Practice Address - Phone:256-566-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
No163WC2100XNursing Service ProvidersRegistered NurseContinence CareGroup - Multi-Specialty