Provider Demographics
NPI:1376833954
Name:LOCKNEY MANAGEMENT, LLC
Entity type:Organization
Organization Name:LOCKNEY MANAGEMENT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-596-5222
Mailing Address - Street 1:71-50 PARSONS BLVD
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11365-4131
Mailing Address - Country:US
Mailing Address - Phone:516-596-5222
Mailing Address - Fax:877-311-5460
Practice Address - Street 1:401 N. MAIN STREET
Practice Address - Street 2:
Practice Address - City:LOCKNEY
Practice Address - State:TX
Practice Address - Zip Code:79241-2059
Practice Address - Country:US
Practice Address - Phone:806-652-3375
Practice Address - Fax:806-652-3466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-15
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX130813314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX675485Medicare Oscar/Certification