Lexington Health Care Center of Bloomingdale Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0035188 Issued in IL

Legal business name

LEXINGTON HEALTH CARE CENTER OF BLOOMINGDALE INC

Practice address

165 S Bloomingdale Rd
Bloomingdale, IL 60108-1434

Phone

(630) 980-8700

Fax

(630) 980-6170

NPI assigned

Sep 8, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Samatas

Title

President

Phone

(630) 458-4700

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1003800830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 W NORTH AVE",
            "address_2": "STE 500",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601481134",
            "telephone_number": "630-458-4700",
            "fax_number": "630-458-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S BLOOMINGDALE RD",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081434",
            "telephone_number": "630-980-8700",
            "fax_number": "630-980-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON HEALTH CARE CENTER OF BLOOMINGDALE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "SAMATAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-458-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0035188",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0035188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.